Provider Demographics
NPI:1578761359
Name:HUMAN DEVELOPMENT SERVICES OF WESTCHESTER
Entity Type:Organization
Organization Name:HUMAN DEVELOPMENT SERVICES OF WESTCHESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCSIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:914-835-8906
Mailing Address - Street 1:930 MAMARONECK AVE
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-1629
Mailing Address - Country:US
Mailing Address - Phone:914-835-8906
Mailing Address - Fax:914-835-8905
Practice Address - Street 1:930 MAMARONECK AVE
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-1629
Practice Address - Country:US
Practice Address - Phone:914-835-8906
Practice Address - Fax:914-835-8905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01304356Medicaid
NY02153262Medicaid