Provider Demographics
NPI:1114147204
Name:NEW YORK INSTITUTE FOR SPECIAL EDUCATION
Entity Type:Organization
Organization Name:NEW YORK INSTITUTE FOR SPECIAL EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR OF HEALTH SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTONACCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-519-7000
Mailing Address - Street 1:999 PELHAM PKWY N
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-4905
Mailing Address - Country:US
Mailing Address - Phone:718-519-7000
Mailing Address - Fax:
Practice Address - Street 1:999 PELHAM PKWY N
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-4905
Practice Address - Country:US
Practice Address - Phone:718-519-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children