Provider Demographics
NPI:1710022330
Name:ARGUS COMMUNITY, INC.
Entity Type:Organization
Organization Name:ARGUS COMMUNITY, INC.
Other - Org Name:PROMETHEUS CDTP
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR, MANAGED CARE CONTRACTING
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOWY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-401-5650
Mailing Address - Street 1:760 E 160TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-7815
Mailing Address - Country:US
Mailing Address - Phone:718-401-5700
Mailing Address - Fax:718-993-5308
Practice Address - Street 1:402 E 156TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-1232
Practice Address - Country:US
Practice Address - Phone:718-993-3183
Practice Address - Fax:718-402-9622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7922300A261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01103593Medicaid
NY01103593Medicaid