Provider Demographics
NPI:1255160131
Name:SOCIAL CITY LLC
Entity type:Organization
Organization Name:SOCIAL CITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-394-7439
Mailing Address - Street 1:426 W BROADWAY APT 6F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-3773
Mailing Address - Country:US
Mailing Address - Phone:201-394-7439
Mailing Address - Fax:
Practice Address - Street 1:3 W 95TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6753
Practice Address - Country:US
Practice Address - Phone:201-394-7439
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
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center