Organization
SELFHELP COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL LUSAK (VICE PRESIDENT, ADMINISTRATION)
(212) 971-7707
Entity
Organization
Contact information
Practice address
520 EIGHTH AVENUE, 5TH FLOOR, NEW YORK, NY 10018-6553
(212) 971-7000
(212) 629-9482
Mailing address
520 EIGHTH AVENUE, 5TH FLOOR, NEW YORK, NY 10018-6553
(212) 971-7000
(212) 629-9482
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0308L003
NY
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009474438
—
NY
Enumeration date
11/22/2006
Last updated
03/22/2011
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