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FREDERICK CUNNINGHAM
NPI 1760087936
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Elmont, NY

Active since December 03, 2020
40 ELMONT RD, ELMONT, NY 11003(347) 542-5644 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Frederick Cunningham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK CUNNINGHAM (NPI 1760087936) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Elmont, New York and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1760087936
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameFREDERICK CUNNINGHAM
Location Address40 ELMONT RDElmont, NY 11003-1603
Mailing Address14202 20th AveFlushing, NY 11351-3000
Phone(347) 542-5644
Sole ProprietorYes
Enumeration DateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
✔ NPI 1760087936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

40 ELMONT RD, Elmont, NY 11003
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY J RYAN LCSW
Social Worker (Clinical)
40 ELMONT RD
ELMONT, NY 11003
Nassau County (516) 437-0440
STEPHEN HERBERT LOCKSPEISER
Social Worker (Clinical)
40 ELMONT RD
ELMONT, NY 11003
Nassau County (516) 437-0440
MEGAN ELIZABETH LISTON CASAC
Counselor (Addiction (Substance Use Disorder))
40 ELMONT RD
ELMONT, NY 11003
Nassau County (516) 437-0440
MR. JOHN CUNNINGHAM LCSW
Social Worker (Clinical)
40 ELMONT RD
ELMONT, NY 11003
Nassau County (516) 437-0440
KIMBERLY CHRISTINE VALENTE
Student in an Organized Health Care Education/Training Program
40 ELMONT RD
ELMONT, NY 11003
Nassau County (917) 563-3354
MRS. FATIMAT BINTU FUNKE ADENLOLA
Student in an Organized Health Care Education/Training Program
40 ELMONT RD
ELMONT, NY 11003
Nassau County (347) 542-5667
MS. MARIE CLAUDE JEAN-BAPTISTE INTERN
Student in an Organized Health Care Education/Training Program
40 ELMONT RD
ELMONT, NY 11003
Nassau County (917) 907-1136
DONNA WILSON
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
40 ELMONT RD
ELMONT, NY 11003
Nassau County (347) 542-5644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Cunningham's NPI number?

The NPI number for Frederick Cunningham is 1760087936. It was assigned to this individual provider in the NPPES registry on December 3, 2020.

Where is Frederick Cunningham located?

Frederick Cunningham practices at 40 Elmont Rd, Elmont, NY 11003. The listed phone number is (347) 542-5644.

What is Frederick Cunningham's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Frederick Cunningham was last updated on December 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.