Organization
YESHIVA UNIVERSITY
Active
Other names
Sound View Throgs Neck Community Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMANUEL GENN (ASSOCIATE DEAN FOR BUSINESS AFFAIRS)
(718) 430-3182
Entity
Organization
Contact information
Practice address
2527 GLEBE AVENUE, BRONX, NY 10461
(718) 904-4420
(718) 931-7307
Mailing address
1300 MORRIS PARK AVENUE, BRONX, NY 10461
(718) 904-4420
(718) 931-7307
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00759944
—
NY
01
—
04121000000
CENTER CARE ID #
—
01
—
041210000000
FIDELIS ID#
—
01
—
1037430
BEACON PROV #
—
01
—
118353
HARMONY PROVIDER #
—
01
—
142975
VALUEOPTIONS PROVIDER #
—
01
—
251311
COMP PSYCH ID #
—
01
—
3106231
GHI PROVIDER #
—
Enumeration date
09/28/2006
Last updated
10/04/2011
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