Healthcare Provider Details

I. General information

NPI: 1629125901
Provider Name (Legal Business Name): THE NEW YORK INSTITUTE FOR SPECIAL EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 PELHAM PKWY N
BRONX NY
10469-4905
US

IV. Provider business mailing address

999 PELHAM PKWY N
BRONX NY
10469-4905
US

V. Phone/Fax

Practice location:
  • Phone: 718-519-7000
  • Fax: 212-519-0222
Mailing address:
  • Phone: 718-519-7000
  • Fax: 212-519-0222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: DR. EUGENE MCMAHON
Title or Position: EXECUTIVE DIRECTOR
Credential: ED.D.
Phone: 718-519-7000