MEDICARE: COALITION FOR HISPANIC FAMILIES

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	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility	8875431	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	:	1275724551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COALITION FOR HISPANIC FAMILIES

Provider Business Mailing Address
First Line	:	315 WYCKOFF AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-5842
Country	:	US
Telephone Number	:	718-497-6090
Fax Number	:	718-497-9495

Provider Business Practice Location Address
First Line	:	315 WYCKOFF AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-5842
Country	:	US
Telephone Number	:	718-497-6090
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DENISE ROSARIO
Credential	:
Telephone Number	:	718-497-6090

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	02/09/2016

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