St.dominic's Home

NPI #1750349692 in Blauvelt, New York

Provider Information

NPI Number: 1750349692
Entity Type: Organization
Organization Name: St.dominic's Home
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 500 WESTERN HWY
City: Blauvelt
State: New York
ZIP Code: 10913-2000
Phone: (845) 359-3400

Authorized Official

Name: JUDITH D KYDON, MED
Title: EXECUTIVE DIRECTOR
Phone: (845) 359-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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