Healthcare Provider Details

I. General information

NPI: 1801931654
Provider Name (Legal Business Name): PALLADIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 MADISON AVE
NEW YORK NY
10035-1217
US

IV. Provider business mailing address

2006 MADISON AVE
NEW YORK NY
10035-1217
US

V. Phone/Fax

Practice location:
  • Phone: 212-979-8800
  • Fax:
Mailing address:
  • Phone: 212-979-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CHRISTAL MOSES
Title or Position: DIRECTOR OF HIV SERVICES
Credential: (MSW, LMHC, CASAC)
Phone: 212-979-8800