MEDICARE: ST. JOSEPH'S SCHOOL FOR THE DEAF

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
1	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700902343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. JOSEPH'S SCHOOL FOR THE DEAF

Provider Business Mailing Address
First Line	:	1000 HUTCHINSON RIVER PKWY
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-1820
Country	:	US
Telephone Number	:	718-828-9000
Fax Number	:	718-792-6631

Provider Business Practice Location Address
First Line	:	1000 HUTCHINSON RIVER PKWY
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-1820
Country	:	US
Telephone Number	:	718-828-9000
Fax Number	:	718-792-6631

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. PATRICIA MARTIN
Credential	:	PH.D.
Telephone Number	:	718-828-9000

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	08/22/2020

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