Provider Demographics
NPI:1558739235
Name:NEW YORK FOUNDLING HOSPITAL
Entity Type:Organization
Organization Name:NEW YORK FOUNDLING HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHENK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-485-7532
Mailing Address - Street 1:3300 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-2221
Mailing Address - Country:US
Mailing Address - Phone:917-485-7500
Mailing Address - Fax:
Practice Address - Street 1:3300 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-2221
Practice Address - Country:US
Practice Address - Phone:917-485-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health