Organization
NYSARC INC NYC CHAPTER
Active
Parent organization
NYSARC INC NYC CHAPTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
NYSARC INC NYC CHAPTER
Authorized official
MR. ROBERT GOLDSMITH (CHIEF OPERATING OFFICER)
(212) 780-2692
Entity
Organization
Contact information
Practice address
16120 89TH AVE, APT 3C, JAMAICA, NY 11432-3901
(212) 780-2538
Mailing address
83 MAIDEN LN, 11 TH FLOOR, NEW YORK, NY 10038-4812
(212) 780-2631
(212) 777-5893
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
06198493
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02915075
—
NY
01
—
06198493
NYS OMRDD
NY
Enumeration date
11/26/2007
Last updated
11/26/2007
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