Organization
NEW YORK FOUNDLING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MOJICA CBCS (BILLING CREDENTIALING MANAGER)
(917) 485-7291
Entity
Organization
Contact information
Practice address
170 BROWN PL, BRONX, NY 10454-4140
(212) 206-4146
Mailing address
590 AVENUE OF THE AMERICAS FL 10, NEW YORK, NY 10011-2022
(917) 485-7291
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
7000286R
NY
261QH0100X
Health Service Clinic/Center
70451015
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00327835
—
NY
Enumeration date
04/28/2008
Last updated
06/15/2021
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