Provider Demographics
NPI:1669849436
Name:RESERVE EDLER SERVICES INC.
Entity Type:Organization
Organization Name:RESERVE EDLER SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEGMANN
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:212-727-4214
Mailing Address - Street 1:633 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6706
Mailing Address - Country:US
Mailing Address - Phone:212-727-4200
Mailing Address - Fax:212-727-4374
Practice Address - Street 1:633 3RD AVE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6706
Practice Address - Country:US
Practice Address - Phone:212-871-5301
Practice Address - Fax:212-727-4351
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FEDCAP REHABILITATION SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty