Eating Disorder Treatment of New York, LLC
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Irvington, NY
NPI 1174928014 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1174928014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- License
- 8161002 (NY)
- Legal business name
- EATING DISORDER TREATMENT OF NEW YORK, LLC
- Practice address
- 100 S Broadway
Irvington, NY 10533-2128 - Phone
- (914) 479-5860
- NPI assigned
- Nov 4, 2014
- Organization subpart
- No
Authorized official
- Name
- Jason Schultz
- Title
- Chief Financial Officer
- Phone
- (720) 440-4277
Corporate family (same tax ID) 9
Practitioners 1
-
Tara Brass, M.D.
National Provider Directory
- Tax ID family
- Eating Disorder Treatment of New York LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 8161002 | NY | Yes |
Addresses
Primary practice location
100 S Broadway
Irvington, NY 10533-2128
Mailing address
6100 SW 76TH St
South Miami, FL 33143-5002
Phone (305) 663-1876
Other names
- Monte Nido River Towns
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All providers in Irvington, NY · Mental Illness Community Based Residential Treatment Facility in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.