Provider Demographics
NPI:1437450525
Name:THE CHILD STUDY CENTER OF NEW YORK
Entity Type:Organization
Organization Name:THE CHILD STUDY CENTER OF NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADDAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-822-1192
Mailing Address - Street 1:366 N BROADWAY
Mailing Address - Street 2:SUITE 408
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-2025
Mailing Address - Country:US
Mailing Address - Phone:516-822-1192
Mailing Address - Fax:516-822-1084
Practice Address - Street 1:33 WHITE PLACE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310
Practice Address - Country:US
Practice Address - Phone:718-442-8588
Practice Address - Fax:718-442-6737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency