Organization
CIS COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK SCHNITT (EXECUTIVE DIRECTOR)
(212) 385-0086
Entity
Organization
Contact information
Practice address
116 JOHN ST FL 27, NEW YORK, NY 10038-3414
(212) 385-0086
(212) 732-0757
Mailing address
116 JOHN ST FL 27, NEW YORK, NY 10038-3414
(212) 385-0086
(212) 732-0757
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1548324652
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01082397
—
NY
Enumeration date
08/12/2010
Last updated
08/12/2010
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