Provider Demographics
NPI:1518026905
Name:PARALLAX CENTER, INC.
Entity Type:Organization
Organization Name:PARALLAX CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:OCKERT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-779-9207
Mailing Address - Street 1:145 E 32ND ST
Mailing Address - Street 2:6 FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6055
Mailing Address - Country:US
Mailing Address - Phone:212-779-9207
Mailing Address - Fax:212-779-9288
Practice Address - Street 1:145 E 32ND ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6055
Practice Address - Country:US
Practice Address - Phone:212-779-9207
Practice Address - Fax:212-779-9288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061210920261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01291721Medicaid
NYA100044841OtherMEDICARE PTAN