Healthcare Provider Details

I. General information

NPI: 1932522232
Provider Name (Legal Business Name): ALACARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2014
Last Update Date: 01/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 WEST 57TH ST SUITE 1B
NEW YORK NY
10019
US

IV. Provider business mailing address

333 WEST 57TH ST SUITE 1B
NEW YORK NY
10019
US

V. Phone/Fax

Practice location:
  • Phone: 212-315-2796
  • Fax: 212-765-6566
Mailing address:
  • Phone: 212-315-2796
  • Fax: 212-765-6566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberR040217
License Number StateNY

VIII. Authorized Official

Name: ANN GESNER
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 212-315-2796