Intrepid of New York INC
NPI #1629050208 in Queens Village, New York
Provider Information
- NPI Number
- 1629050208
- Entity Type
- Organization
- Organization Name
- Intrepid of New York INC
- Primary Specialty
- Home Health
- Enumeration Date
- Nov 18, 2005
- Last Updated
- Apr 20, 2016
Practice Location
- Address
- 212-47 JAMAICA AVE
- Address 2
- 2ND FLOOR, SUITE 209
- City
- Queens Village
- State
- New York
- ZIP Code
- 11428-1632
- Phone
- (718) 776-7760
Authorized Official
- Name
- MR. PAUL D FOSTER
- Title
- CEO
- Phone
- (214) 445-3750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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