Organization
URBAN PATHWAYS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK SHACK (EXECUTIVE DIRECTOR)
(212) 736-7385
Entity
Organization
Contact information
Practice address
575 8TH AVE, NEW YORK, NY 10018-3011
(212) 736-7385
(212) 736-1388
Mailing address
575 8TH AVE, NEW YORK, NY 10018-3011
(212) 736-7385
(212) 736-1388
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R8084430
NEW YORK STATE OFFICE OF MENTAL HEALTH
NY
Enumeration date
07/20/2010
Last updated
07/20/2010
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