1013230374 NPI number — THE MENTAL HEALTH ASSOCIATION OF NEW YORK CITY, INC.

Table of content: MICHAEL DUY CAO P.T. (NPI 1740390533)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013230374 NPI number — THE MENTAL HEALTH ASSOCIATION OF NEW YORK CITY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE MENTAL HEALTH ASSOCIATION OF NEW YORK CITY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013230374
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/20/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50 BROADWAY
Provider Second Line Business Mailing Address:
19TH FLOOR
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10004-1607
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-254-0333
Provider Business Mailing Address Fax Number:
212-785-1910

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
50 BROADWAY
Provider Second Line Business Practice Location Address:
19TH FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10004-1607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-254-0333
Provider Business Practice Location Address Fax Number:
212-964-7302
Provider Enumeration Date:
03/01/2010

Additional Information

Authorized Official

Authorized Official Last Name:
STOLPER
Authorized Official First Name:
GISELLE
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
212-254-0333

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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