STONY FORD FOUNDATION INC NPI 1053517201

NPI Information

  • NPI: 1053517201
  • Provider Name: STONY FORD FOUNDATION INC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 390 CRYSTAL RUN RD
    SUIT 105
    MIDDLETOWN, NY
    ZIP 10941
  • Phone: (845) 703-5523

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NPI Details

STONY FORD FOUNDATION INC is a rehabilitation clinic center in Middletown, NY. STONY FORD FOUNDATION INC NPI is 1053517201. The provider is registered as an organization entity type.

The provider's business location address is:

390 CRYSTAL RUN RD
SUIT 105
MIDDLETOWN, NY
ZIP 10941
Phone: (845) 703-5523
Fax: (845) 703-2970

The provider's authorized official is Eddie Davila .
The authorized official title is Medicaid Biller and has the following contact phone number (845) 703-5523.

The enumeration date for this NPI number is 6/25/2007 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102205801MEDICAIDNEW YORK
202528187MEDICAIDNEW YORK
302751820MEDICAIDNEW YORK
402008111MEDICAIDNEW YORK
502702087MEDICAIDNEW YORK
601790945MEDICAIDNEW YORK
701288944MEDICAIDNEW YORK
801489761MEDICAIDNEW YORK
902004126MEDICAIDNEW YORK
1002596610MEDICAIDNEW YORK
1101387728MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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