Provider Demographics
NPI:1841818986
Name:MODEST COMMUNITY SERVICES ASSOCIATION
Entity type:Organization
Organization Name:MODEST COMMUNITY SERVICES ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-447-8200
Mailing Address - Street 1:88 NEW DORP PLZ S STE 202
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-2902
Mailing Address - Country:US
Mailing Address - Phone:718-447-8200
Mailing Address - Fax:718-504-7966
Practice Address - Street 1:88 NEW DORP PLZ S STE 202
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2902
Practice Address - Country:US
Practice Address - Phone:718-447-8200
Practice Address - Fax:718-504-7966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services