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Organization
NEW YORK FOUNDLING
Active
Organization
NEW YORK FOUNDLING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA MOJICA CBCS (BILLING AND CREDENTIALING MANAGER)
(917) 485-7291
Entity
Organization
Contact information
Practice address
109 E 115TH ST, NEW YORK, NY 10029-1186
(917) 485-7280
(718) 772-0289
Mailing address
590 AVENUE OF THE AMERICAS FL 10, NEW YORK, NY 10011-2022
(917) 485-7291
(917) 485-7590
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
070311541
NY
261QH0100X
Health Service Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
6396001A
NY
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
03/24/2008
Last updated
09/16/2025
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