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NPI Code Detail

MEDICARE: NEW YORK FOUNDLING

MEDICARE: NEW YORK FOUNDLING
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
1261QH0100XHealth Service Clinic/Center
2261QD1600XDevelopmental Disabilities Clinic/Center070311541NY
3261QM1300XMulti-Specialty Clinic/Center
4261QM0855XAdolescent and Children Mental Health Clinic/Center6396001ANY

Other Identifiers

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

General Provider Information

NPI Number : 1649442229
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YORK FOUNDLING
Provider Business Mailing Address
First Line : 590 AVENUE OF THE AMERICAS FL 10
Second Line :
City : NEW YORK
State : NY
Zip : 10011-2022
Country : US
Telephone Number : 917-485-7291
Fax Number : 917-485-7590
Provider Business Practice Location Address
First Line : 109 E 115TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10029-1186
Country : US
Telephone Number : 917-485-7280
Fax Number : 718-772-0289
Authorized Official
Title or Position : BILLING AND CREDENTIALING MANAGER
Name : MRS. JESSICA MOJICA
Credential : CBCS
Telephone Number : 917-485-7291
Provider Enumeration Date : 03/24/2008
Last Update Date : 09/16/2025

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Directions to “NEW YORK FOUNDLING ” Practice Location

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