Organization
163RD STREET IMPROVEMENT COUNCIL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA GAYLE PERRY (EXECUTIVE DIRECTOR)
(917) 819-8090
Entity
Organization
Contact information
Practice address
490 E 167TH ST, BRONX, NY 10456-4404
(917) 819-8090
Mailing address
490 E 167TH ST, BRONX, NY 10456-4404
(917) 819-8090
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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