IndividualActive
Eda Gordoncillo, MRS.
NPI 1558504043 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · New Windsor, NY
Provider details
- NPI number
- 1558504043
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Credential
- MRS.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 011931-1 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 011931-1 (NY)
Residential Treatment Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17 Guernsey Dr
New Windsor, NY 12553-8046
Phone: (845) 562-7283
Street-level locationGet directions
Mailing address
17 Guernsey Dr
New Windsor, NY 12553-8046
Registry dates
- Enumerated
- 2009-04-13
- Last updated
- 2009-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.