| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |