Provider Demographics
NPI:1225287758
Name:LOS NINOS SERVICES
Entity Type:Organization
Organization Name:LOS NINOS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:EDITA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-787-9700
Mailing Address - Street 1:535 8TH AVENUE
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-4304
Mailing Address - Country:US
Mailing Address - Phone:212-787-9700
Mailing Address - Fax:212-787-4418
Practice Address - Street 1:535 8TH AVENUE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-4304
Practice Address - Country:US
Practice Address - Phone:212-787-9700
Practice Address - Fax:212-787-4418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY56900OtherNEW YORK CITY EIP