Organization
NYSARC INC NYC CHAPTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C GOLDSMITH (CHIEF OPERATING OFFICER)
(212) 780-2692
Entity
Organization
Contact information
Practice address
224 E 5TH ST, NEW YORK, NY 10003-8501
(212) 780-2631
(212) 777-5893
Mailing address
83 MAIDEN LN, NEW YORK, NY 10038-4812
(212) 780-2631
(212) 777-5893
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00356758
—
NY
01
—
6198442
NYS OMRDD OPERATING CERT
NY
Enumeration date
11/30/2006
Last updated
08/22/2020
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