Organization
NEW YORK FOUNDLING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE KING (MULTI-SYSTEMIC THERAPIST)
(347) 913-2959
Entity
Organization
Contact information
Practice address
590 AVE OF THE AMERICAS, 590 AVE OF THE AMERICAS, NEW YORK, NY 10011-2019
(212) 660-1380
Mailing address
590 AVE OF THE AMERICAS, 27 CHRISTOPHER STREET, NEW YORK, NY 10011-2019
(212) 660-1380
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
091304-1
NY
Other
Enumeration date
01/17/2014
Last updated
02/26/2014
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