BOYS CLUB OF NEW YORK


Address: 287 E 10th St, New York, NY 10009-4816
Phone: 2125332554

BOYS CLUB OF NEW YORK (NPI# 1760441489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760441489
Entity Type Organization
Organization Name BOYS CLUB OF NEW YORK
Other Organization Name THE BOYS CLUB OF NEW YORK
Practice Address 287 E 10th St
New York
NY 10009-4816
Practice Telephone 2125332554
Practice Fax Number 2123530016
Mailing Telephone 2125332554
Mailing Fax Number 2123530016
Enumeration Date 2006-03-21
Last Update Date 2020-08-22
Authorized Official Name MR. BRAD ZERVAS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2125332554
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 261Q00000X Clinic/Center NY Ambulatory Health Care Facilities
X 261QD0000X Clinic/Center
Specialization: Dental
NY Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
THE BOYS CLUB OF NEW YORK Former Legal Business Name - Organization

Office Location

Street Address 287 E 10TH ST
City NEW YORK
State NY
Zip Code 10009-4816

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City NEW YORK
Zip Code 10009

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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