Provider Demographics
NPI:1093928392
Name:MAIMONIDES CHILDRENS SERVICES
Entity Type:Organization
Organization Name:MAIMONIDES CHILDRENS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ORRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPPOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-331-6600
Mailing Address - Street 1:8214 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-2901
Mailing Address - Country:US
Mailing Address - Phone:718-331-3939
Mailing Address - Fax:718-331-4321
Practice Address - Street 1:8214 18TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-2901
Practice Address - Country:US
Practice Address - Phone:718-331-3939
Practice Address - Fax:718-331-4321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service