Organization
NORTHSIDE CENTER FOR CHILD DEVELOPMET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THELMA DYE (CEO)
(212) 426-3400
Entity
Organization
Contact information
Practice address
1301 5TH AVE, NEW YORK, NY 10029-3119
(212) 426-3400
Mailing address
1301 5TH AVE, NEW YORK, NY 10029-3119
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/19/2013
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