Provider Demographics
NPI:1669528709
Name:SICK KIDS (NEED) INVOLVED PEOPLE OF NEW YORK
Entity type:Organization
Organization Name:SICK KIDS (NEED) INVOLVED PEOPLE OF NEW YORK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGUERITE
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-268-5999
Mailing Address - Street 1:601 WEST 26 STREET
Mailing Address - Street 2:5TH FLOOR SUITE 522
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001
Mailing Address - Country:US
Mailing Address - Phone:212-268-5999
Mailing Address - Fax:212-268-7667
Practice Address - Street 1:601 WEST 26 STREET
Practice Address - Street 2:5TH FLOOR SUITE 522
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:212-268-5999
Practice Address - Fax:212-268-7667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY22940Medicaid
NY03214835Medicaid