Provider Demographics
NPI:1780319426
Name:CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC.
Entity type:Organization
Organization Name:CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP CARE COORDINATION & CASE MGMNT.
Authorized Official - Prefix:MS
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBERIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-722-6000
Mailing Address - Street 1:191 JORALEMON STREET
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4306
Mailing Address - Country:US
Mailing Address - Phone:718-722-6230
Mailing Address - Fax:
Practice Address - Street 1:16110 JAMAICA AVE FL 2
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-6139
Practice Address - Country:US
Practice Address - Phone:929-397-2620
Practice Address - Fax:929-397-2621
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center