MEDICARE: CENTER FOR FAMILY SUPPORT

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	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

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	:	1972727972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR FAMILY SUPPORT

Provider Business Mailing Address
First Line	:	333 7TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-5004
Country	:	US
Telephone Number	:	212-629-7939
Fax Number	:	212-239-2211

Provider Business Practice Location Address
First Line	:	333 7TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-5004
Country	:	US
Telephone Number	:	212-629-7939
Fax Number	:	212-239-2211

Authorized Official
Title or Position	:	CFO
Name	:	MR. MARTIN KATZ
Credential	:
Telephone Number	:	212-629-7939

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	08/22/2020

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Directions to “CENTER FOR FAMILY SUPPORT ” Practice Location

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