Provider Demographics
NPI:1164784344
Name:NEW YORK CHILD RESOURCE CENTER
Entity Type:Organization
Organization Name:NEW YORK CHILD RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE COORDINATOR SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:PABON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-585-0600
Mailing Address - Street 1:348 E 146TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-5702
Mailing Address - Country:US
Mailing Address - Phone:718-585-0600
Mailing Address - Fax:718-585-0152
Practice Address - Street 1:348 E 146TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5702
Practice Address - Country:US
Practice Address - Phone:718-585-0600
Practice Address - Fax:718-585-0152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management