Provider Demographics
NPI:1558732420
Name:NEW PATH SERVICES CORPORATION
Entity Type:Organization
Organization Name:NEW PATH SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OMAIRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GIRALDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-877-7976
Mailing Address - Street 1:1585 209TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-1127
Mailing Address - Country:US
Mailing Address - Phone:718-877-7976
Mailing Address - Fax:718-423-6617
Practice Address - Street 1:1585 209TH ST
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-1127
Practice Address - Country:US
Practice Address - Phone:718-877-7976
Practice Address - Fax:718-423-6617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-16
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency