Provider Demographics
NPI:1417357252
Name:COMMUNITY ASSISTANCE RESOURCES AND EXTENDED SERVICES, INC.
Entity Type:Organization
Organization Name:COMMUNITY ASSISTANCE RESOURCES AND EXTENDED SERVICES, INC.
Other - Org Name:CARES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEARL
Authorized Official - Middle Name:L
Authorized Official - Last Name:RATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-420-1970
Mailing Address - Street 1:465 GRAND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4800
Mailing Address - Country:US
Mailing Address - Phone:212-420-1970
Mailing Address - Fax:212-420-1910
Practice Address - Street 1:465 GRAND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4800
Practice Address - Country:US
Practice Address - Phone:212-420-1970
Practice Address - Fax:212-420-1910
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY ASSISTANCE RESOURCES AND EXTENDED SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-29
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7607300261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center