Provider Demographics
NPI:1891835906
Name:ASSOCIATION FOR THE ADVANCEMENT OF BLIND AND RETARDED, INC.
Entity Type:Organization
Organization Name:ASSOCIATION FOR THE ADVANCEMENT OF BLIND AND RETARDED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSNACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-321-3800
Mailing Address - Street 1:1508 COLLEGE POINT BLVD
Mailing Address - Street 2:P.O. BOX 560247
Mailing Address - City:COLLEGE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11356-2210
Mailing Address - Country:US
Mailing Address - Phone:718-321-3800
Mailing Address - Fax:718-321-0972
Practice Address - Street 1:6516 AUSTIN ST
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4052
Practice Address - Country:US
Practice Address - Phone:718-997-9345
Practice Address - Fax:718-997-9345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00581177Medicaid