Provider Demographics
NPI:1902023021
Name:INSTITUTES OF APPLIED HUMAN DYNAMICS
Entity Type:Organization
Organization Name:INSTITUTES OF APPLIED HUMAN DYNAMICS
Other - Org Name:I A H D ANNE ARCURI RESIDENCE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF THE BILLING DEPARTMENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:K
Authorized Official - Last Name:ST. MARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-920-0806
Mailing Address - Street 1:3625 BAINBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-1168
Mailing Address - Country:US
Mailing Address - Phone:718-920-0806
Mailing Address - Fax:718-920-1331
Practice Address - Street 1:1200 WATERS PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2728
Practice Address - Country:US
Practice Address - Phone:718-920-0806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01443392Medicare UPIN