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ASTOR HOME FOR CHILDREN NPI 1972760759


NPI Information

NPI: 1972760759
Provider Name: ASTOR HOME FOR CHILDREN
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
46 LINCOLN AVE
POUGHKEEPSIE, NY
ZIP 12601
Phone: (845) 485-1882
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ASTOR HOME FOR CHILDREN is a point of service in Poughkeepsie, NY. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. ASTOR HOME FOR CHILDREN NPI is 1972760759. The provider is registered as an organization entity type.

The provider's business location address is:

46 LINCOLN AVE
POUGHKEEPSIE, NY
ZIP 12601-518
Phone: (845) 485-1882
Fax: (845) 452-8563

The provider's authorized official is John Bray .
The authorized official title is Executive Director and has the following contact phone number (845) 871-0009.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 5/20/2008.


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
1305S00000XPoint of Service104100000XNEW 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
190806MEDICAIDNEW 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: 5/5/2024

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