Organization Active NPI

Lower Eastside Service Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
National Provider Identifier
1447446091
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LOWER EASTSIDE SERVICE CENTER
Practice address
46 E Broadway
New York, NY 10002-6803
Phone
(212) 566-5372
Fax
(212) 732-5224
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Ms. Valerie C Walters
Title
VP, Human Resources
Phone
(212) 566-5372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

46 E Broadway
New York, NY 10002-6803

Mailing address

80 Maiden LN
New York, NY 10038-4811
Phone (212) 566-5372

National Provider Directory

National Provider Directory

Locations

46 E Broadway
New York, NY 10002
Phone (212) 343-3520

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1447446091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MAIDEN LN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384811",
            "telephone_number": "212-566-5372",
            "fax_number": "212-566-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026803",
            "telephone_number": "212-566-5372",
            "fax_number": "212-732-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER EASTSIDE SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP, HUMAN RESOURCES",
        "authorized_official_telephone_number": "212-566-5372",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.