Provider Demographics
NPI:1750450003
Name:PALLADIA INC
Entity Type:Organization
Organization Name:PALLADIA INC
Other - Org Name:CONTINUING CARE TREATMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT CHIEF FINANCIAL OFFI
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:C
Authorized Official - Last Name:DUNNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-979-8800
Mailing Address - Street 1:2006 MADISON AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035
Mailing Address - Country:US
Mailing Address - Phone:212-979-8800
Mailing Address - Fax:212-979-0100
Practice Address - Street 1:360 WEST 125TH STREET
Practice Address - Street 2:SUITE B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027
Practice Address - Country:US
Practice Address - Phone:212-280-1031
Practice Address - Fax:212-280-0748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCD010950251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
01291703Medicare UPIN