1972090322 NPI number — ODDETTE A PARKER-CHIECO MS COUNSELING

Table of content: ODDETTE A PARKER-CHIECO MS COUNSELING (NPI 1972090322)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972090322 NPI number — ODDETTE A PARKER-CHIECO MS COUNSELING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARKER-CHIECO
Provider First Name:
ODDETTE
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS COUNSELING
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NOT APPLICABLE
Provider Other First Name:
NOT APPLICABLE
Provider Other Middle Name:
NOT APPLICABLE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS COUNSELING
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1972090322
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/03/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
THE NEW YORK FOUNDLING HEADQUARTERS
Provider Second Line Business Mailing Address:
590 AVENUE OF AMERICAS
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10011-9904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-633-9300
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
FORESTDALE INC
Provider Second Line Business Practice Location Address:
67-35 112 STREET
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11356
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-263-0740
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/20/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , 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)





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