Healthcare Provider Details

I. General information

NPI: 1467513564
Provider Name (Legal Business Name): THE CHILDREN'S AID SOCIETY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 02/11/2022
Certification Date: 02/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 REMSEN ST FL 7
BROOKLYN NY
11201-4333
US

IV. Provider business mailing address

117 W 124TH ST
NEW YORK NY
10027-4920
US

V. Phone/Fax

Practice location:
  • Phone: 718-625-8300
  • Fax:
Mailing address:
  • Phone: 212-949-4686
  • Fax: 212-682-8016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number105748
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. GEORGIA BOOTH
Title or Position: VICE PRESIDENT, CHILD WELFARE & FAM
Credential:
Phone: 212-949-4686