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NPI Code Detail

MEDICARE: NEW YORK FOUNDLING

MEDICARE: NEW YORK FOUNDLING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management AgencyP84699NY

General Provider Information

NPI Number : 1700137304
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YORK FOUNDLING
Provider Business Mailing Address
First Line : 590 AVENUE OF THE AMERICAS
Second Line :
City : NEW YORK
State : NY
Zip : 10011-2022
Country : US
Telephone Number : 917-485-7280
Fax Number : 718-772-0289
Provider Business Practice Location Address
First Line : 109 E 115TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10029-1186
Country : US
Telephone Number : 917-485-7280
Fax Number : 718-772-0289
Authorized Official
Title or Position : CEO
Name : MRS. MELANIE HARTZOG
Credential :
Telephone Number : 212-886-4075
Provider Enumeration Date : 09/24/2012
Last Update Date : 05/15/2025

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Directions to “NEW YORK FOUNDLING ” Practice Location

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