Provider Demographics
NPI:1659744183
Name:S.E.&D. ENTERPRISES NYC, INC
Entity Type:Organization
Organization Name:S.E.&D. ENTERPRISES NYC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-532-2713
Mailing Address - Street 1:4 S ORANGE AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-1702
Mailing Address - Country:US
Mailing Address - Phone:917-747-6406
Mailing Address - Fax:
Practice Address - Street 1:160 PEARL ST
Practice Address - Street 2:2ND FLOOR REAR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-1617
Practice Address - Country:US
Practice Address - Phone:917-747-6406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2050XRespite Care FacilityRespite CareRespite Care Camp