Provider Demographics
NPI:1720453012
Name:COMMUNITY ACCESS INC
Entity Type:Organization
Organization Name:COMMUNITY ACCESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:COE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-780-1400
Mailing Address - Street 1:2 WASHINGTON ST
Mailing Address - Street 2:NINTH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-1008
Mailing Address - Country:US
Mailing Address - Phone:212-780-1400
Mailing Address - Fax:212-780-1412
Practice Address - Street 1:2 WASHINGTON ST
Practice Address - Street 2:NINTH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-1008
Practice Address - Country:US
Practice Address - Phone:212-780-1400
Practice Address - Fax:212-780-1412
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY ACCESS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-11
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health