Healthcare Provider Details

I. General information

NPI: 1164602397
Provider Name (Legal Business Name): NEW ALTERNATIVES FOR CHILDREN INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 7TH AVE FL 9
NEW YORK NY
10019-6014
US

IV. Provider business mailing address

825 7TH AVE FL 9
NEW YORK NY
10019-6014
US

V. Phone/Fax

Practice location:
  • Phone: 212-696-1550
  • Fax:
Mailing address:
  • Phone: 212-696-1550
  • Fax: 212-696-1602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAYLA SUDAIRI
Title or Position: ADMINISTRATIVE DIRECTOR FOR BILLING
Credential:
Phone: 646-367-8552