Provider Demographics
NPI:1114171824
Name:NEW YORK CENTER FOR LIVING
Entity Type:Organization
Organization Name:NEW YORK CENTER FOR LIVING
Other - Org Name:CENTER FOR LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD CHAIRMAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:KABLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-752-9545
Mailing Address - Street 1:226 E 52ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6201
Mailing Address - Country:US
Mailing Address - Phone:212-712-8800
Mailing Address - Fax:
Practice Address - Street 1:226 E 52ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-6201
Practice Address - Country:US
Practice Address - Phone:212-712-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY09711661251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY09711661OtherNY STATE OFFICE OF ALCOHOL AND SUBSTANCE ABUSE FACILITY LICENSE