Provider Demographics
NPI:1285840553
Name:NEW YORK CITY HEALTH & HOSPITALS CORPORATION
Entity Type:Organization
Organization Name:NEW YORK CITY HEALTH & HOSPITALS CORPORATION
Other - Org Name:DR. SUSAN SMITH MCKINNEY ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF REVENUE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARJI
Authorized Official - Middle Name:
Authorized Official - Last Name:KARLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-458-3480
Mailing Address - Street 1:50 WATER ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-6010
Mailing Address - Country:US
Mailing Address - Phone:646-458-3480
Mailing Address - Fax:646-458-3434
Practice Address - Street 1:594 ALBANY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1706
Practice Address - Country:US
Practice Address - Phone:718-245-7208
Practice Address - Fax:718-245-7086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01935299Medicaid