1861616518 NPI number — UNIQUE PEOPLE SERVICES, INC.

Table of content: (NPI 1659391175)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861616518 NPI number — UNIQUE PEOPLE SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIQUE PEOPLE SERVICES, 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:
6
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:
1861616518
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4234 VIREO AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRONX
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10470-2412
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-231-7711
Provider Business Mailing Address Fax Number:
718-231-7720

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4234 VIREO AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10460-2104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-364-6892
Provider Business Practice Location Address Fax Number:
718-364-6710
Provider Enumeration Date:
04/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BRISSETT-ANDRE
Authorized Official First Name:
YVETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
718-231-7711

Provider Taxonomy Codes

  • Taxonomy code: 305R00000X , with the licence number:  01354214 , 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: 01354214 . This is a "PROVIDER I.D. # ICF" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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