GODDARD RIVERSIDE COMMUNITY CENTER


Address: 965 Columbus Ave, New York, NY 10025-3140
Phone: 2125312727

GODDARD RIVERSIDE COMMUNITY CENTER (NPI# 1457444234) 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) 1457444234
Entity Type Organization
Organization Name GODDARD RIVERSIDE COMMUNITY CENTER
Practice Address 965 Columbus Ave
New York
NY 10025-3140
Mailing Address 593 Columbus Ave
New York
NY 10024-1904
Practice Telephone 2125312727
Practice Fax Number 2125313636
Mailing Telephone 2128736600
Mailing Fax Number 2125956498
Enumeration Date 2006-10-02
Last Update Date 2020-08-22
Authorized Official Name MR. LAURENCE KILLIAN (CHIEF FISCAL OFFICER)
Authorized Official Telephone 2128736600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251V00000X Voluntary or Charitable 7296471A NY Agencies

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities GODDARD RIVERSIDE COMMUNITY CENTER 593 Columbus Ave Frnt 1, New York, NY 10024-1904

Office Location

Street Address 965 COLUMBUS AVE
City NEW YORK
State NY
Zip Code 10025-3140

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Taxonomy Information

Taxonomy Code 251V00000X
Grouping Agencies
Classification Voluntary or Charitable

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10025

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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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