Healthcare Provider Details

I. General information

NPI: 1932013802
Provider Name (Legal Business Name): NEIGHBORHOOD FOOD PROGRAM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 W 34TH ST
NEW YORK NY
10122
US

IV. Provider business mailing address

28 SPRING ST STE 205
PRINCETON NJ
08542-6901
US

V. Phone/Fax

Practice location:
  • Phone: 347-230-8119
  • Fax:
Mailing address:
  • Phone: 347-230-8119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTOPHER CLARK
Title or Position: FOUNDER
Credential:
Phone: 347-230-8119