Provider Demographics
NPI:1184866923
Name:OTSAR FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:OTSAR FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:POLLACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-946-7301
Mailing Address - Street 1:2334 W 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-5639
Mailing Address - Country:US
Mailing Address - Phone:718-946-7301
Mailing Address - Fax:718-946-7966
Practice Address - Street 1:2334 W 13TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-5639
Practice Address - Country:US
Practice Address - Phone:718-946-7301
Practice Address - Fax:718-946-7966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02040206Medicaid
NY02004346Medicaid
NY02139691Medicaid
NY02702014Medicaid
NY01490808Medicaid
NY02610662Medicaid