Provider Demographics
NPI:1326167719
Name:HUMAN DEVELOPMENT ASSOCIATION
Entity Type:Organization
Organization Name:HUMAN DEVELOPMENT ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YECHIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUENWALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-422-4700
Mailing Address - Street 1:12 HEYWARD ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-7839
Mailing Address - Country:US
Mailing Address - Phone:718-422-4700
Mailing Address - Fax:718-855-4500
Practice Address - Street 1:12 HEYWARD ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-7839
Practice Address - Country:US
Practice Address - Phone:718-422-4700
Practice Address - Fax:718-855-4500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0553L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health