Provider Demographics
NPI:1720233711
Name:NEW YORK CHILD RESOURCE CENTER
Entity Type:Organization
Organization Name:NEW YORK CHILD RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-585-0600
Mailing Address - Street 1:86 HALSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3008
Mailing Address - Country:US
Mailing Address - Phone:914-237-3069
Mailing Address - Fax:914-237-5278
Practice Address - Street 1:86 HALSTEAD AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3008
Practice Address - Country:US
Practice Address - Phone:914-237-3069
Practice Address - Fax:914-237-5278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037471252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency