Provider Demographics
NPI:1689920951
Name:THE LOWER WEST SIDE HOUSING SERVICE CORPORATION
Entity Type:Organization
Organization Name:THE LOWER WEST SIDE HOUSING SERVICE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:I.E. MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KESIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-722-2467
Mailing Address - Street 1:2 OVERHILL RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5323
Mailing Address - Country:US
Mailing Address - Phone:914-722-2467
Mailing Address - Fax:914-722-0748
Practice Address - Street 1:2 OVERHILL RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5323
Practice Address - Country:US
Practice Address - Phone:914-722-2467
Practice Address - Fax:914-722-0748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency