# NEW YORK FOUNDLING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evelyn Douglin Center ICF- Riverdale
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154951549
- **Authorized official:** JESSICA MOJICA (BILLING CREDENTIALING MANAGER)
- **Authorized official phone:** (917) 485-7291

## Contact information

- **Practice address:** 163 RIVERDALE AVE, BROOKLYN, NY 11212-5579
- **Practice address phone:** (718) 965-1998
- **Mailing address:** 590 AVENUE OF AMERICAS, 10TH FLOOR, NEW YORK, NY 10011
- **Mailing address phone:** (917) 485-7291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2020
- **Last updated:** 01/24/2020