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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251V00000X | Voluntary or Charitable | 7296471A | NY | Agencies |
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 |
Street Address |
965 COLUMBUS AVE |
City | NEW YORK |
State | NY |
Zip Code | 10025-3140 |
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1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
Find all providers in zip 10025 |
Taxonomy Code | 251V00000X |
Grouping | Agencies |
Classification | Voluntary or Charitable |
Definition to come... |
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1447384979 | West Side Federation for Senior and Supportive Housing Inc | Voluntary or Charitable | 2345 Broadway, New York, NY 10024-3213 | 2007-03-15 |
1467513564 | The Children's Aid Society | Voluntary or Charitable | 150 E. 45th Street, 7th Floor, New York, NY 10017 | 2006-12-12 |
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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.