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 |
| 1 | 324500000X | Substance Abuse Rehabilitation Facility | | 090411448 | NEW YORK | No |
| 2 | 324500000X | Substance Abuse Rehabilitation Facility | | 050410478 | NEW YORK | No |
| 3 | 324500000X | Substance Abuse Rehabilitation Facility | | 070610167 | NEW YORK | No |
| 4 | 324500000X | Substance Abuse Rehabilitation Facility | | 061110163 | NEW YORK | No |
| 5 | 324500000X | Substance Abuse Rehabilitation Facility | | 070410164 | NEW YORK | No |
| 6 | 324500000X | Substance Abuse Rehabilitation Facility | | 080410651 | NEW YORK | No |
| 7 | 324500000X | Substance Abuse Rehabilitation Facility | | 070910477 | NEW YORK | No |
| 8 | 324500000X | Substance Abuse Rehabilitation Facility | | 080111248 | NEW YORK | No |
| 9 | 324500000X | Substance Abuse Rehabilitation Facility | | 08045448 | NEW YORK | No |
| 10 | 324500000X | Substance Abuse Rehabilitation Facility | | 070410478 | NEW YORK | No |
| 11 | 324500000X | Substance Abuse Rehabilitation Facility | | | | Yes |
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 |
| 1 | ========= | OTHER | NEW YORK | APS- HEALTHNOW |
| 2 | =========00 | OTHER | NEW YORK | CIGNA |
| 3 | ========= | OTHER | NEW YORK | LAKE PLAINS COMM. CARE |
| 4 | ========= | OTHER | NEW YORK | UNITED BEHAVIORAL HEALTH |
| 5 | 000000818000 | OTHER | NEW YORK | BLUE CROSS & BLUE SHIELD |
| 6 | 075003-000 | OTHER | NEW YORK | MBC-MEGELLIN |
| 7 | ========= | OTHER | NEW YORK | APS-COMMUNITY BLUE |
| 8 | ========= | OTHER | NEW YORK | N. AMERICAN HEALTH PLAN |
| 9 | ========= | OTHER | NEW YORK | NOVA |
| 10 | ========= | OTHER | NEW YORK | UNITED HEALTH CARE |
| 11 | ========= | OTHER | NEW YORK | FIDELIS |
| 12 | ========= | OTHER | NEW YORK | VALUE BEHAVIORAL HEALTH |
| 13 | 8406733 | OTHER | NEW YORK | INDEPENDENT HEALTH-IHA |
| 14 | ========= | OTHER | NEW YORK | GHI GROUP HEALTH INC. |
| 15 | 00-689-703 | MEDICAID | NEW YORK | |
| 16 | 075003-000 | OTHER | NEW YORK | MERIT BEHAVIORAL CARE-CMG |
| 17 | 00011265201 | OTHER | NEW YORK | UNIVERA |
| 18 | 075003-000 | OTHER | NEW YORK | MBC- GREEN SPRINGS |
