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NPI Code Detail

MEDICARE: CHILDRENS VILLAGE

MEDICARE: CHILDRENS VILLAGE
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
1322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility260783NY

General Provider Information

NPI Number : 1376832931
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDRENS VILLAGE
Provider Business Mailing Address
First Line : 1 ECHO HILLS
Second Line : WETMORE HALL
City : DOBBS FERRY
State : NY
Zip : 10522-1218
Country : US
Telephone Number : 914-693-0600
Fax Number :
Provider Business Practice Location Address
First Line : 1 ECHO HL
Second Line : WETMORE HALL
City : DOBBS FERRY
State : NY
Zip : 10522-3600
Country : US
Telephone Number : 914-693-0600
Fax Number :
Authorized Official
Title or Position : CHAIR
Name : DR. PAUL KYMISSIS
Credential : MD
Telephone Number : 914-693-0600
Provider Enumeration Date : 04/05/2011
Last Update Date : 04/05/2011

Similar Medicare Providers

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Practice Location Address:
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Directions to “CHILDRENS VILLAGE ” Practice Location

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