East Side Social

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EAST SIDE SOCIAL

Practice address

85 Delancey St
Suite 13
New York, NY 10002-3182

Phone

(917) 680-5805

NPI assigned

Jun 16, 2015

Organization subpart

No

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

Authorized official

Name

Kimia Tehrani, M.A., B.C.B.A.

Title

Co-Founder

Phone

(917) 680-5805

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1275914152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 DELANCEY ST",
            "address_2": "SUITE 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 DELANCEY ST",
            "address_2": "SUITE 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023182",
            "telephone_number": "917-680-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE SOCIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "TEHRANI",
        "authorized_official_first_name": "KIMIA",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "917-680-5805",
        "authorized_official_credential": "M.A., B.C.B.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Side Pharmacy, Inc
• East Side Podiatric Surgical Suite P.C.
• East Side Primary Medical Care, P.C.
• East Side Psychiatric Services, PC
• East Side Smile Solutions Dentistry PC
• East Side Specialized Services Inc
• East Side Sports Physical Therapy, P.C.
• East Side Surgery, PC
• East Side Urology Associates
• East Side Womens OB GYN Associates PC

• Community/Behavioral Health Agency in New York, NY
• Providers in New York, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.