Provider Demographics
NPI:1194003400
Name:ACKERMAN INSTITUTE FOR THE FAMILY
Entity Type:Organization
Organization Name:ACKERMAN INSTITUTE FOR THE FAMILY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KENYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-879-4900
Mailing Address - Street 1:120 EAST 87TH STREET
Mailing Address - Street 2:P-18B
Mailing Address - City:NEWE YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:212-987-3601
Mailing Address - Fax:
Practice Address - Street 1:120 E 87TH ST
Practice Address - Street 2:P-18B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1116
Practice Address - Country:US
Practice Address - Phone:212-987-3601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017262251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health