Healthcare Provider Details

I. General information

NPI: 1669528709
Provider Name (Legal Business Name): SICK KIDS (NEED) INVOLED PEOPLE OF NEW YORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 06/13/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 WEST 39TH STREET, 5TH FLOOR
NEW YORK NY
10018
US

IV. Provider business mailing address

318 WEST 39TH STREET, 5TH FLOOR
NEW YORK NY
10018
US

V. Phone/Fax

Practice location:
  • Phone: 212-268-5999
  • Fax: 212-268-7667
Mailing address:
  • Phone: 212-268-5999
  • Fax: 212-268-7667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MARGUERITE MIKOL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 212-268-5999