Organization
GODDARD RIVERSIDE COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAURENCE KILLIAN (CHIEF FISCAL OFFICER)
(212) 873-6600
Entity
Organization
Contact information
Practice address
965 COLUMBUS AVE, NEW YORK, NY 10025-3140
(212) 531-2727
(212) 531-3636
Mailing address
593 COLUMBUS AVE, NEW YORK, NY 10024-1904
(212) 873-6600
(212) 595-6498
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
7296471A
NY
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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