Provider Demographics
NPI:1821388414
Name:HCHC, INC.
Entity Type:Organization
Organization Name:HCHC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ELY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIVACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-604-5283
Mailing Address - Street 1:585 SCHENECTADY AVE
Mailing Address - Street 2:LEVITON ROOM 413
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1809
Mailing Address - Country:US
Mailing Address - Phone:718-604-5283
Mailing Address - Fax:718-604-5737
Practice Address - Street 1:585 SCHENECTADY AVE
Practice Address - Street 2:LEVITON ROOM 413
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1809
Practice Address - Country:US
Practice Address - Phone:718-604-5283
Practice Address - Fax:718-604-5737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-15
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY331800880145251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY331800880145OtherSCHOOL CODE