MEDICARE: ACKERMAN INSTITUTE FOR THE FAMILY

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	017262	NY

General Provider Information

NPI Number	:	1194003400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACKERMAN INSTITUTE FOR THE FAMILY

Provider Business Mailing Address
First Line	:	120 EAST 87TH STREET
Second Line	:	P-18B
City	:	NEWE YORK
State	:	NY
Zip	:	10128
Country	:	US
Telephone Number	:	212-987-3601
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 E 87TH ST
Second Line	:	P-18B
City	:	NEW YORK
State	:	NY
Zip	:	10128-1116
Country	:	US
Telephone Number	:	212-987-3601
Fax Number	:

Authorized Official
Title or Position	:	CLINIC ADMINISTRATOR
Name	:	MS. KENYA ASKA
Credential	:
Telephone Number	:	212-879-4900

Provider Enumeration Date	:	08/03/2011
Last Update Date	:	08/03/2011

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Directions to “ACKERMAN INSTITUTE FOR THE FAMILY ” Practice Location

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