NPIMap

Organization Active NPI

Fabrick Corp.

  • Developmentally Disabled Services Day Training Agency
  • Valley Stream, NY
National Provider Identifier
1003115361
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
0048911 Issued in NY
Legal business name
FABRICK CORP.
Practice address
6 Cloverfield Rd N
Valley Stream, NY 11581-2404
Phone
(516) 295-0013
Fax
(516) 295-0013
NPI assigned
Mar 24, 2011
Last updated
Mar 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Freda Sajous Joseph, BS
Title
Occupational Therapy Assistant
Phone
(516) 295-0013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 0048911 NY Primary

Addresses

Primary practice location

6 Cloverfield Rd N
Valley Stream, NY 11581-2404

Mailing address

6 Cloverfield Rd N
Valley Stream, NY 11581-2404
Phone (516) 295-0013

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1003115361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CLOVERFIELD RD N",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812404",
            "telephone_number": "516-295-0013",
            "fax_number": "516-295-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CLOVERFIELD RD N",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812404",
            "telephone_number": "516-295-0013",
            "fax_number": "516-295-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABRICK CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "FREDA",
        "authorized_official_middle_name": "SAJOUS",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "516-295-0013",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "0048911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.