Provider Demographics
NPI:1518163963
Name:ASSOCIATION FOR NEUROLOGICALLY IMPAIRED BRAIN INJURED CHILDREN, INC.
Entity Type:Organization
Organization Name:ASSOCIATION FOR NEUROLOGICALLY IMPAIRED BRAIN INJURED CHILDREN, INC.
Other - Org Name:ANIBIC
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:TANCREDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-423-9550
Mailing Address - Street 1:6135 220TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2244
Mailing Address - Country:US
Mailing Address - Phone:718-423-9550
Mailing Address - Fax:718-423-0470
Practice Address - Street 1:6135 220TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-2244
Practice Address - Country:US
Practice Address - Phone:718-423-9550
Practice Address - Fax:718-423-0470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02337988Medicaid
NY02610337Medicaid
NY01995913Medicaid
NY02663192Medicaid
NY02170469Medicaid
NY02692482Medicaid
NY01736598Medicaid