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NPI Code Detail

MEDICARE: CARDINAL MCCLOSKEY SCHOOL AND HOME FOR CHILDREN

MEDICARE: CARDINAL MCCLOSKEY SCHOOL AND HOME FOR CHILDREN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1275044869
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDINAL MCCLOSKEY SCHOOL AND HOME FOR CHILDREN
Provider Business Mailing Address
First Line : 115 E STEVENS AVE STE LL5
Second Line :
City : VALHALLA
State : NY
Zip : 10595-1286
Country : US
Telephone Number : 914-997-8000
Fax Number :
Provider Business Practice Location Address
First Line : 529 COURTLANDT AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5007
Country : US
Telephone Number : 718-993-7700
Fax Number :
Authorized Official
Title or Position : CFO
Name : CHRISTINE MONROE
Credential :
Telephone Number : 914-997-8000
Provider Enumeration Date : 10/23/2017
Last Update Date : 10/23/2017

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Directions to “CARDINAL MCCLOSKEY SCHOOL AND HOME FOR CHILDREN ” Practice Location

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