Provider Demographics
NPI:1477933695
Name:AHRC NYC
Entity type:Organization
Organization Name:AHRC NYC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:KENT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:515-297-6645
Mailing Address - Street 1:1 HILLSIDE AVE APT 4A
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3229
Mailing Address - Country:US
Mailing Address - Phone:516-297-6645
Mailing Address - Fax:
Practice Address - Street 1:1 HILLSIDE AVE APT 4A
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3229
Practice Address - Country:US
Practice Address - Phone:516-297-6645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health