Provider Demographics
NPI:1346286382
Name:STEINWAY CHILD AND FAMILY SERVICES, INC
Entity Type:Organization
Organization Name:STEINWAY CHILD AND FAMILY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PASQUALE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEPETRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:718-389-5100
Mailing Address - Street 1:4136 27TH ST
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-3825
Mailing Address - Country:US
Mailing Address - Phone:718-389-5100
Mailing Address - Fax:718-391-9633
Practice Address - Street 1:15636 CROSSBAY BLVD STE C
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-2700
Practice Address - Country:US
Practice Address - Phone:718-738-6800
Practice Address - Fax:718-738-9245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR184251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00245074Medicaid
NY00245074Medicaid