1730209362 FAGAN RESIDENCE
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Active
Basic Information
- Organization Name
- FAGAN RESIDENCE
- Enumeration Date
- March 29, 2007
- Last Update
- August 22, 2020
- Authorized Official
- EDWIN M KENNEDY
CFO
Phone: (516) 733-7000
Practice Location
- Address
- 1504 DEPAUL ST
ELMONT, NY 110031900 - Phone
- (631) 665-3434
Mailing Address
- Address
- 1504 DEPAUL ST
ELMONT, NY 110031900 - Phone
- (631) 665-3434
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 6186445 | NY | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02245930 | 05 | NY | N/A |
Frequently Asked Questions
What is FAGAN RESIDENCE's NPI number?
FAGAN RESIDENCE's NPI number is 1730209362.
Which doctor has NPI number 1730209362?
The doctor with NPI number 1730209362 is FAGAN RESIDENCE.
What is FAGAN RESIDENCE's practice address?
FAGAN RESIDENCE's practice address is 1504 DEPAUL ST, ELMONT, NY, 110031900.
Which doctor practices at 1504 DEPAUL ST, ELMONT, NY, 110031900?
FAGAN RESIDENCE practices at 1504 DEPAUL ST, ELMONT, NY, 110031900.
What is FAGAN RESIDENCE's phone number?
FAGAN RESIDENCE's phone number is (631) 665-3434.
Who is (631) 665-3434?
(631) 665-3434 is the phone number for FAGAN RESIDENCE.
What is FAGAN RESIDENCE's specialty?
FAGAN RESIDENCE's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is FAGAN RESIDENCE?
FAGAN RESIDENCE is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is FAGAN RESIDENCE a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, FAGAN RESIDENCE is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is FAGAN RESIDENCE still practicing?
Yes, FAGAN RESIDENCE is currently practicing.
Is FAGAN RESIDENCE accepting new patients?
FAGAN RESIDENCE may be accepting new patients. Please call their office at (631) 665-3434 to inquire about availability.
Is NPI 1730209362 still active?
Yes, NPI 1730209362 is currently active.
Where does FAGAN RESIDENCE practice?
FAGAN RESIDENCE practices in ELMONT, NY.