Healthcare Provider Details

I. General information

NPI: 1720029127
Provider Name (Legal Business Name): THE EDUCATIONAL ALLIANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 2ND AVE
NEW YORK NY
10003-2707
US

IV. Provider business mailing address

197 E BROADWAY
NEW YORK NY
10002-5507
US

V. Phone/Fax

Practice location:
  • Phone: 212-533-6211
  • Fax: 212-533-6734
Mailing address:
  • Phone: 212-533-6211
  • Fax: 212-533-6734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. ROBIN BERNSTEIN
Title or Position: PRESIDENT & CEO
Credential: CSW
Phone: 212-780-2300