Provider Demographics
NPI:1235479114
Name:MORIJA MULTICULTURAL COMMUNITY CENTER
Entity Type:Organization
Organization Name:MORIJA MULTICULTURAL COMMUNITY CENTER
Other - Org Name:MORIJA SDA CHURCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRST ELDER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNST
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEURANVIL
Authorized Official - Suffix:
Authorized Official - Credentials:PROFESSIONAL ENGINEE
Authorized Official - Phone:347-339-6688
Mailing Address - Street 1:314 W 120TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-6127
Mailing Address - Country:US
Mailing Address - Phone:212-663-7661
Mailing Address - Fax:718-874-0145
Practice Address - Street 1:314 W 120TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-6127
Practice Address - Country:US
Practice Address - Phone:212-663-7661
Practice Address - Fax:718-874-0145
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORIJA SDA CHURCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization