Kelly Hannon in Newburgh - Day Training, Developmentally Disabled Services

Kelly Hannon - NPI 1063519585

Kelly Hannon is a Day Training, Developmentally Disabled Services in Newburgh, New York. Kelly Hannon practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Kelly Hannon is 1063519585. The last update date is 2008-07-15.

Kelly Hannon's current location address is 1607 Route 300, Newburgh, New York. You can contact this provider via phone number 8455649853 and fax number 8455649853. The mailing address for Kelly Hannon is 1607 Route 300, Newburgh, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kelly Hannon
Address 1607 Route 300, Newburgh, New York
Phone Number 8455649853
Fax Number 8455649853
Sole Proprietor --
Credentials --

Authorized Official

Title or Position REGIONAL M
Authorized Official Name Pasqualicchio Yvonne
Telephone Number 8455649853

NPI Number Detail

NPI Number 1063519585
Provider Enumeration Date 2006-09-19
Last Updated Date 2008-07-15

Provider Mailing Address Detail

Address 1607 Route 300
City Newburgh
State New York (NY)
Post Code 125501738
Phone Number 8455649853
Fax Number 8455649853

Provider's Primary Taxonomy Detail

Speciality Day Training, Developmentally Disabled Services
Taxonomy 251C00000X
Licence No 9353
Definition:
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
009353-1 NY OT LICENSE

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FAQs about Kelly Hannon

What is the Kelly Hannon's 1063519585?

The Kelly Hannon's NPI (National Provider Identifier) Number is 1063519585. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kelly Hannon is physically located?

The Kelly Hannon is situated at the following address: 1607 Route 300, Newburgh, NY 125501738.

What is Kelly Hannon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kelly Hannon is Day Training, Developmentally Disabled Services, and the corresponding taxonomy classification code for this specialized field is 251C00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1063519585 to Kelly Hannon?

The Kelly Hannon received its 1063519585 assignment from the Centers for Medicare & Medicaid Services on 2006-09-19.

When was the information regarding Kelly Hannon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kelly Hannon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-15.

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