Provider Demographics
NPI:1003453010
Name:WILDLIFE CONSERVATION SOCIETY
Entity type:Organization
Organization Name:WILDLIFE CONSERVATION SOCIETY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OF HUMAN HEALTH SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:KAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUIGNAN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:718-220-7109
Mailing Address - Street 1:2300 SOUTHERN BLVD
Mailing Address - Street 2:HUMAN HEALTH SERVICES
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460
Mailing Address - Country:US
Mailing Address - Phone:718-220-7109
Mailing Address - Fax:718-329-5536
Practice Address - Street 1:2300 SOUTHERN BLVD
Practice Address - Street 2:HUMAN HEALTH SERVICES
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460
Practice Address - Country:US
Practice Address - Phone:718-220-7109
Practice Address - Fax:718-329-5536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service