Provider Demographics
NPI:1164676912
Name:ADAPTIVE DESIGN ASSOCIATION, INC.
Entity Type:Organization
Organization Name:ADAPTIVE DESIGN ASSOCIATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUESDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-904-1200
Mailing Address - Street 1:313 W 36TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-6401
Mailing Address - Country:US
Mailing Address - Phone:212-904-1200
Mailing Address - Fax:
Practice Address - Street 1:313 W 36TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-6401
Practice Address - Country:US
Practice Address - Phone:212-904-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYEX 226583OtherEXEMPT ORGANIZATION CERTIFICATE