Provider Demographics
NPI:1003034109
Name:EXPONENTS
Entity Type:Organization
Organization Name:EXPONENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRISIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPHER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:212-243-3434
Mailing Address - Street 1:2 WASHINGTON ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-1008
Mailing Address - Country:US
Mailing Address - Phone:212-243-3434
Mailing Address - Fax:212-243-1257
Practice Address - Street 1:2 WASHINGTON ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-1008
Practice Address - Country:US
Practice Address - Phone:212-243-3434
Practice Address - Fax:212-243-1257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY090410773261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01880088Medicaid