Organization
THE THINKUBATOR, INC.
Active
Other names
The Thinkubator
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD SUMMERS PH.D. (CEO)
(347) 468-6621
Entity
Organization
Contact information
Practice address
128 ALEXANDER AVE, BRONX, NY 10454-4455
(917) 631-9410
Mailing address
128 ALEXANDER AVE, BRONX, NY 10454-4455
(917) 631-9410
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5784218
NYS CORPORATION REGISTRATION
NY
Enumeration date
01/12/2023
Last updated
01/12/2023
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