Provider Demographics
NPI:1518179142
Name:UCP OF NYC, INC.
Entity Type:Organization
Organization Name:UCP OF NYC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENTIAL NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-993-2710
Mailing Address - Street 1:1922 MCGRAW AVE
Mailing Address - Street 2:APT# 6B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-7974
Mailing Address - Country:US
Mailing Address - Phone:718-792-1907
Mailing Address - Fax:
Practice Address - Street 1:245 E 149TH ST
Practice Address - Street 2:APT # 4C
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5516
Practice Address - Country:US
Practice Address - Phone:718-993-2710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY365115163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-SurgicalGroup - Multi-Specialty