Provider Demographics
NPI:1598931727
Name:COPAY, INC.
Entity Type:Organization
Organization Name:COPAY, INC.
Other - Org Name:GREAT NECK COMMUNITY ORGANIZATION FOR PARENTS & YOUTH INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ELISA
Authorized Official - Last Name:CUADRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-466-2509
Mailing Address - Street 1:21 NORTH STATION PLAZA
Mailing Address - Street 2:COPAY, INC.
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021
Mailing Address - Country:US
Mailing Address - Phone:516-466-2509
Mailing Address - Fax:516-482-3146
Practice Address - Street 1:21 NORTH STATION PLAZA
Practice Address - Street 2:COPAY, INC.
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-466-2509
Practice Address - Fax:516-482-3146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
NY081110739251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01764896Medicaid