Provider Demographics
NPI:1013382530
Name:NY FOUNDLING
Entity Type:Organization
Organization Name:NY FOUNDLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOSTER PARENT RECRUITER
Authorized Official - Prefix:
Authorized Official - First Name:HAKWWM
Authorized Official - Middle Name:
Authorized Official - Last Name:OTITI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-898-3909
Mailing Address - Street 1:2090 ADAM CLAYTON POWELL JR BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-4990
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2090 ADAM CLAYTON POWELL JR BLVD
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4990
Practice Address - Country:US
Practice Address - Phone:347-898-3909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY577283229253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY18357642OtherEMBLEM HEALTH HIP PRIME HMO