Provider Demographics
NPI:1952669913
Name:HARLEM BAY NETWORK PROS
Entity Type:Organization
Organization Name:HARLEM BAY NETWORK PROS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HYDE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:212-876-6083
Mailing Address - Street 1:116 EAST 124TH STREET
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-9998
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:116 EAST 124TH STREET
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-9998
Practice Address - Country:US
Practice Address - Phone:212-876-6083
Practice Address - Fax:212-876-6092
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE MENTAL HEALTH ASSOCIATION OF NEW YORK CITY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081729261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health