Community Resources of New York, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

036141-1 Issued in NY

Legal business name

COMMUNITY RESOURCES OF NEW YORK, LLC

Practice address

352 West 117TH Street, Suite 4D
New York, NY 10026-1558

Phone

(212) 316-0829

Fax

(212) 678-0411

NPI assigned

May 7, 2009

Last updated

May 7, 2009By 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

Ms. Rosalind V. Wilson, MSSW

Title

President/Manager

Phone

(212) 316-0829

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1487888277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 WEST 117TH STREET, SUITE 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261558",
            "telephone_number": "212-316-0829",
            "fax_number": "212-678-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 WEST 117TH STREET, SUITE 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261558",
            "telephone_number": "212-316-0829",
            "fax_number": "212-678-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESOURCES OF NEW YORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROSALIND",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "212-316-0829",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSSW"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "036141-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.