Provider Demographics
NPI:1720029127
Name:THE EDUCATIONAL ALLIANCE
Entity Type:Organization
Organization Name:THE EDUCATIONAL ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:CSW
Authorized Official - Phone:212-780-2300
Mailing Address - Street 1:197 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5507
Mailing Address - Country:US
Mailing Address - Phone:212-533-6211
Mailing Address - Fax:212-533-6734
Practice Address - Street 1:315 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2707
Practice Address - Country:US
Practice Address - Phone:212-533-6211
Practice Address - Fax:212-533-6734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01304498Medicaid