Healthcare Provider Details

I. General information

NPI: 1518875111
Provider Name (Legal Business Name): NEIGHBORHOOD FOOD PROGRAM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 W 34TH ST FL 9
NEW YORK NY
10122-0901
US

IV. Provider business mailing address

225 W 34TH ST FL 9
NEW YORK NY
10122-0901
US

V. Phone/Fax

Practice location:
  • Phone: 848-203-9729
  • Fax:
Mailing address:
  • Phone: 848-203-9729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER CLARK
Title or Position: FOUNDER
Credential:
Phone: 848-203-9729