Provider Demographics
NPI:1043818511
Name:ARBOR INTENSIVES LTD
Entity Type:Organization
Organization Name:ARBOR INTENSIVES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BINYAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TEPFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:516-426-5415
Mailing Address - Street 1:43 WOODMERE BLVD S
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1737
Mailing Address - Country:US
Mailing Address - Phone:516-426-5415
Mailing Address - Fax:
Practice Address - Street 1:514 OCEAN PKWY STE L2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-5836
Practice Address - Country:US
Practice Address - Phone:516-426-5415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health