Provider Demographics
NPI:1174866172
Name:NEW YORK CLINICAL RECOVERY SPECIALISTS
Entity Type:Organization
Organization Name:NEW YORK CLINICAL RECOVERY SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, CASAC
Authorized Official - Phone:917-525-2604
Mailing Address - Street 1:459 COLUMBUS AVE
Mailing Address - Street 2:SUITE 124
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5129
Mailing Address - Country:US
Mailing Address - Phone:917-525-2604
Mailing Address - Fax:917-382-3936
Practice Address - Street 1:459 COLUMBUS AVE
Practice Address - Street 2:SUITE 124
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5129
Practice Address - Country:US
Practice Address - Phone:917-525-2604
Practice Address - Fax:917-382-3936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty