Organization
CARL DAVID RICHARDSON FOUNDATION, INC.
Active
Other names
CDR Foundation Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOHANN ANDRIA RICHARDSON (EXECUTIVE DIRECTOR)
(800) 313-7591
Entity
Organization
Contact information
Practice address
14556 229TH ST, SPRINGFIELD GARDENS, NY 11413-3923
(800) 313-7591
(718) 949-6315
Mailing address
14556 229TH ST, SPRINGFIELD GARDENS, NY 11413-3923
(800) 313-7591
(718) 949-6315
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770839011
—
NY
05
—
45-86-41
—
NY
Enumeration date
03/07/2019
Last updated
11/25/2020
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