Provider Demographics
NPI:1215401807
Name:THE INTERFAITH NUTRITION NETWORK, INC.
Entity Type:Organization
Organization Name:THE INTERFAITH NUTRITION NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-534-2810
Mailing Address - Street 1:211 FULTON AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-3928
Mailing Address - Country:US
Mailing Address - Phone:516-486-8506
Mailing Address - Fax:
Practice Address - Street 1:108 MADISON AVE
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-4812
Practice Address - Country:US
Practice Address - Phone:516-489-3238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management