Provider Demographics
NPI:1811351240
Name:NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING
Entity type:Organization
Organization Name:NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE V.P. & CFO
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MALAKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-606-1239
Mailing Address - Street 1:535 EAST 70TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:11434-4823
Mailing Address - Country:US
Mailing Address - Phone:212-606-1239
Mailing Address - Fax:
Practice Address - Street 1:3 CHASE METROTECH CTR
Practice Address - Street 2:FLOOR 02
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11245-0031
Practice Address - Country:US
Practice Address - Phone:212-774-7518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-12
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty