Organization Name: | SAMUEL FIELD YM&YWHA |
NPI Number: | 1205862950 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERI MENDELSOHN (EXECUTIVE VICE PRESIDENT & CEO) |
Mailing Address: | 59-28 Little Neck Parkway Little Neck |
State: | NY US |
Postal Code: | 11362 |
Phone Number: | 7182240566 |
Fax Number: | 7182247544 |
NPI Enumeration Date: | 06/24/2006 |
NPI Last Update Date: | 02/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |