Provider Demographics
NPI:1841673233
Name:NEW YORK COLLEGE OF HEALTH PROFESSIONS
Entity type:Organization
Organization Name:NEW YORK COLLEGE OF HEALTH PROFESSIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAMINTUAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-364-0808
Mailing Address - Street 1:6801 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4458
Mailing Address - Country:US
Mailing Address - Phone:516-364-0808
Mailing Address - Fax:516-364-6645
Practice Address - Street 1:6801 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4458
Practice Address - Country:US
Practice Address - Phone:516-364-0808
Practice Address - Fax:516-364-6645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111N00000X111N00000X
NY133NN1002X133NN1002X
NY163WC1600X163WC1600X
NY171100000X171100000X
NY213E00000X213E00000X
NY225700000X225700000X
NY261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff DevelopmentGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty