Healthcare Provider Details

I. General information

NPI: 1649147414
Provider Name (Legal Business Name): ART IN THE PARK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 W 126TH ST
NEW YORK NY
10027-3811
US

IV. Provider business mailing address

8 W 126TH ST
NEW YORK NY
10027-3811
US

V. Phone/Fax

Practice location:
  • Phone: 917-456-4062
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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 Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAWNIQUE WOOLFALK
Title or Position: FOUNDER/ ED
Credential:
Phone: 917-456-4062