Organization
NY FOUNDLING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAKWWM OTITI (FOSTER PARENT RECRUITER)
(347) 898-3909
Entity
Organization
Contact information
Practice address
2090 ADAM CLAYTON POWELL JR BLVD, NEW YORK, NY 10027-4990
(347) 898-3909
Mailing address
2090 ADAM CLAYTON POWELL JR BLVD, NEW YORK, NY 10027-4990
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
577283229
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18357642
EMBLEM HEALTH HIP PRIME HMO
NY
Enumeration date
12/09/2015
Last updated
12/09/2015
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