Provider Demographics
NPI:1508437088
Name:PATHWAYS WITHIN INC.
Entity Type:Organization
Organization Name:PATHWAYS WITHIN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LESSARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:516-404-7337
Mailing Address - Street 1:322 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-1905
Mailing Address - Country:US
Mailing Address - Phone:516-404-7337
Mailing Address - Fax:631-382-8250
Practice Address - Street 1:496 SMITHTOWN BYP STE 204
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-5011
Practice Address - Country:US
Practice Address - Phone:631-371-3825
Practice Address - Fax:631-382-8250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No251F00000XAgenciesHome InfusionGroup - Multi-Specialty