Provider Demographics
NPI:1184034969
Name:THE INSTITUTE FOR FAMILY HEALTH
Entity Type:Organization
Organization Name:THE INSTITUTE FOR FAMILY HEALTH
Other - Org Name:INSTITUTE FOR FAMILY HEALTH CENTER AT ASC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:CALMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-633-0800
Mailing Address - Street 1:279 MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-1623
Mailing Address - Country:US
Mailing Address - Phone:845-255-3766
Mailing Address - Fax:845-255-3753
Practice Address - Street 1:64 W 35TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2201
Practice Address - Country:US
Practice Address - Phone:212-645-0875
Practice Address - Fax:212-645-0705
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE INSTITUTE FOR FAMILY HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-02
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00903700Medicaid
NY00903700Medicaid