Provider Demographics
NPI:1205665122
Name:EMERSON FREDERICK HOLBERT ADVOCACY CENTER CORP
Entity type:Organization
Organization Name:EMERSON FREDERICK HOLBERT ADVOCACY CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-517-0296
Mailing Address - Street 1:80 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-2209
Mailing Address - Country:US
Mailing Address - Phone:800-861-9127
Mailing Address - Fax:
Practice Address - Street 1:80 BROAD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-2209
Practice Address - Country:US
Practice Address - Phone:800-861-9127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management