1275977027 NPI number — EASTSIDE SERVICES (NEW LIFE CENTER), LLC

Table of content: (NPI 1275977027)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275977027 NPI number — EASTSIDE SERVICES (NEW LIFE CENTER), LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EASTSIDE SERVICES (NEW LIFE CENTER), LLC
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:
ESNLC
Provider Other Organization Name Type Code:
3
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:
1275977027
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/23/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2425 23RD ST
Provider Second Line Business Mailing Address:
2ND FLOOR
Provider Business Mailing Address City Name:
ASTORIA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11102-2837
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-864-1233
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2425 23RD ST
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
ASTORIA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11102-2837
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-864-1233
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/23/2013

Additional Information

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
SANYALE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
917-864-1233

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  00000000 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 00000000 . This is a "SUBCONTRACT CLINICAL SERVICES" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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