Provider Demographics
NPI:1407129562
Name:THE INSTITUTE FOR FAMILY HEALTH
Entity Type:Organization
Organization Name:THE INSTITUTE FOR FAMILY HEALTH
Other - Org Name:FAMILY PRACTICE CENTER OF HYDE PARK
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:CALMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-206-5200
Mailing Address - Street 1:CL # 4655
Mailing Address - Street 2:PO BOX 95000
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-4655
Mailing Address - Country:US
Mailing Address - Phone:800-444-6020
Mailing Address - Fax:845-256-1881
Practice Address - Street 1:11 CRUM ELBOW RD
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12538-2852
Practice Address - Country:US
Practice Address - Phone:845-229-1020
Practice Address - Fax:845-229-2005
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE INSTITUTE FOR FAMILY HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-20
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00903700Medicaid
NY00903700Medicaid
NY331962Medicare Oscar/Certification