| Saint Johns Home For Boys | |
|
150 Beach 110th Street Rockaway Park NY 11694 | |
| (718) 945-2800 | |
| (718) 945-4662 |
| Full Name | Saint Johns Home For Boys |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 150 Beach 110th Street, Rockaway Park, New York |
| Authorized Official Name and Position | Darving C Irizarry (DIRECTOR OF SPECIAL SERVICES & OPER) |
| Authorized Official Contact | 7189452800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Johns Home For Boys 150 Beach 110th Street Rockaway Park NY 11694 Ph: (718) 945-2800 | Saint Johns Home For Boys 150 Beach 110th Street Rockaway Park NY 11694 Ph: (718) 945-2800 |
| NPI Number | 1396806881 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 11/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396806881 | NPI | - | NPPES |
| 00327748 | Medicaid | NY |
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