Healthcare Provider Details

I. General information

NPI: 1861644148
Provider Name (Legal Business Name): TRANSITIONAL SERVICES FOR NEW YORK,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2008
Last Update Date: 10/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9027 SUTPHIN BLVD 5TH FLOOR
JAMAICA NY
11435-3631
US

IV. Provider business mailing address

9027 SUTPHIN BLVD 5TH FLOOR
JAMAICA NY
11435-3631
US

V. Phone/Fax

Practice location:
  • Phone: 718-526-8400
  • Fax:
Mailing address:
  • Phone: 718-526-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number075177-1
License Number StateNY

VIII. Authorized Official

Name: MS. ANITA ESTHER LA ROSA
Title or Position: THERAPIST
Credential: LCSW
Phone: 718-526-8400