Provider Demographics
NPI:1841338829
Name:YOUTH EMPOWERMENT PROJECT, INC.
Entity type:Organization
Organization Name:YOUTH EMPOWERMENT PROJECT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:TERZIOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-794-3469
Mailing Address - Street 1:417 COURT ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-4204
Mailing Address - Country:US
Mailing Address - Phone:315-724-7986
Mailing Address - Fax:315-724-7989
Practice Address - Street 1:417 COURT ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-4204
Practice Address - Country:US
Practice Address - Phone:315-724-7986
Practice Address - Fax:315-724-7989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02622984Medicaid
NYZA8Medicaid