United States Catholic Conference St. Cabrini Home, Inc. | |
Cabrini Home, Inc. 2085 Rt 9w West Park NY 12493 | |
(845) 384-6500 | |
(845) 384-6001 |
Full Name | United States Catholic Conference St. Cabrini Home, Inc. |
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Speciality | Clinic/center |
Location | Cabrini Home, Inc., West Park, New York |
Authorized Official Name and Position | Lia Brognano (ACCTS RECEIVABLES) |
Authorized Official Contact | 8453833913 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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United States Catholic Conference St. Cabrini Home, Inc. Cabrini Home, Inc. 2085 Rt 9w West Park NY 12493 Ph: (845) 384-6500 | United States Catholic Conference St. Cabrini Home, Inc. Cabrini Home, Inc. 2085 Rt 9w West Park NY 12493 Ph: (845) 384-6500 |
NPI Number | 1104956754 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 07/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104956754 | NPI | - | NPPES |
07317 | Other | NY | NYSOASAS PRU NUMBER |
081111324 | Other | NY | CERTIFICATE NUMBER |
41990 | Other | NY | PROGRAM PROVIDER NUMBER |
02324550 | Medicaid | NY | |
012789 | Other | NY | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 012789 (New York) | Primary |