Organization
EDWIN GOULD SERVICES FOR CHILDREN AND FAMILIESQ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUBREY FEATHERSTONE MPA (EXECUTIVE DIRECTOR)
(212) 437-3560
Entity
Organization
Contact information
Practice address
1128 SHERMAN AVE, BRONX, NY 10456-5002
(718) 992-1310
(718) 537-7481
Mailing address
40 RECTOR ST, 12TH FLOOR, NEW YORK, NY 10006-1705
(212) 437-3500
(212) 437-3598
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
6009440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00357153
—
NY
Enumeration date
03/23/2007
Last updated
08/22/2020
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