Provider Demographics
NPI:1558733568
Name:TASK RECOVERY CORP
Entity Type:Organization
Organization Name:TASK RECOVERY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANTSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-683-3341
Mailing Address - Street 1:2716 AVENUE Y
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2008
Mailing Address - Country:US
Mailing Address - Phone:646-683-3341
Mailing Address - Fax:
Practice Address - Street 1:2716 AVENUE Y
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2008
Practice Address - Country:US
Practice Address - Phone:646-683-3341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY13864114320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities