New Square Community Improvement Council, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

NEW SQUARE COMMUNITY IMPROVEMENT COUNCIL, INC.

Practice address

766 N Main St
New Square, NY 10977-1985

Phone

(845) 354-4100

Fax

(845) 354-0334

NPI assigned

Mar 19, 2015

Last updated

Mar 19, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dov Goldman

Title

Executive Director

Phone

(845) 354-4100

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1134513955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 N MAIN ST",
            "city": "NEW SQUARE",
            "state": "NY",
            "postal_code": "109771985",
            "telephone_number": "845-354-4100",
            "fax_number": "845-354-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 N MAIN ST",
            "city": "NEW SQUARE",
            "state": "NY",
            "postal_code": "109771985",
            "telephone_number": "845-354-4100",
            "fax_number": "845-354-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SQUARE COMMUNITY IMPROVEMENT COUNCIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "DOV",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "845-354-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mushka L Mahpour
• Laura McPherson, FNP-C
• Elizabeth McSweeney, CFNP
• Caitlin Murphy, CNM
• Adi Jonathan Neuman, M.D.
• Hadassah Okolica, RPH
• Leora Perl, F.N.P.
• Aliza Plittman, LCSW
• Jessica Rae Plotnikov, MD
• Miriam Tzipora Rackoff, WHNP

• Early Intervention Provider Agency in New Square, NY
• Providers in New Square, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.