Provider Demographics
NPI:1891306791
Name:AFRICAN SERVICES COMMITTEE, INC.
Entity Type:Organization
Organization Name:AFRICAN SERVICES COMMITTEE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:ERICA
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, SCM
Authorized Official - Phone:917-415-3505
Mailing Address - Street 1:429 W 127TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-2544
Mailing Address - Country:US
Mailing Address - Phone:212-222-3882
Mailing Address - Fax:212-222-3882
Practice Address - Street 1:429 W 127TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-2544
Practice Address - Country:US
Practice Address - Phone:212-222-3882
Practice Address - Fax:212-222-3882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty