MEDICARE: NEIGHBORHOOD COALITION FOR SHELTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency		NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184807513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBORHOOD COALITION FOR SHELTER, INC.

Provider Business Mailing Address
First Line	:	157 E 86TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-2175
Country	:	US
Telephone Number	:	212-537-5100
Fax Number	:	212-860-2301

Provider Business Practice Location Address
First Line	:	921 MADISON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-3508
Country	:	US
Telephone Number	:	212-249-6429
Fax Number	:	212-249-6429

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MR. STEPHEN LISNER
Credential	:
Telephone Number	:	212-537-5130

Provider Enumeration Date	:	12/07/2007
Last Update Date	:	12/07/2007

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