Organization
NORTHSIDE CENTER FOR CHILD DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN HOLLAND (DIRECTOR OF CLINIC PROGRAMS)
(212) 426-3440
Entity
Organization
Contact information
Practice address
1301 5TH AVE, 1ST FLOOR, NEW YORK, NY 10029-3119
(212) 426-3400
Mailing address
162 W 54TH ST, APT. 8D, NEW YORK, NY 10019-5345
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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