Provider Demographics
NPI:1841923497
Name:MIDTOWNCAPS LLC
Entity type:Organization
Organization Name:MIDTOWNCAPS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ABE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUBAREV
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-740-3208
Mailing Address - Street 1:590 MADISON AVE FL 21
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2545
Mailing Address - Country:US
Mailing Address - Phone:917-740-3208
Mailing Address - Fax:
Practice Address - Street 1:590 MADISON AVE FL 21
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2545
Practice Address - Country:US
Practice Address - Phone:917-740-3208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty