Provider Demographics
NPI:1013464221
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF OLEAN, NY AND BRADFORD, PA
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF OLEAN, NY AND BRADFORD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-701-1314
Mailing Address - Street 1:1020 REED ST
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-2221
Mailing Address - Country:US
Mailing Address - Phone:716-373-2400
Mailing Address - Fax:716-701-1301
Practice Address - Street 1:1101 WAYNE ST
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-2269
Practice Address - Country:US
Practice Address - Phone:716-373-2400
Practice Address - Fax:716-701-1301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty