=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861419707
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PATHWAYS TO HOUSING, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/16/2006
-----------------------------------------------------
Last Update Date | 03/14/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 55 W 125TH ST 10TH FLOOR
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10027-4516
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-289-0000
-----------------------------------------------------
Fax | 212-289-0839
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 55 W 125TH ST 10TH FLOOR
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10027-4516
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-289-0000
-----------------------------------------------------
Fax | 212-289-0839
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | SAM TSEMBERIS
-----------------------------------------------------
Credential | PHD
-----------------------------------------------------
Telephone | 212-289-0000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251V00000X
-----------------------------------------------------
Taxonomy Name | Voluntary or Charitable Agency
-----------------------------------------------------
License Number | 8895477A
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------