Provider Demographics
NPI:1063702728
Name:THE RODIN COMPANY, LTD.
Entity type:Organization
Organization Name:THE RODIN COMPANY, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:PROF
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:RODIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, SLP, CCC
Authorized Official - Phone:917-742-4089
Mailing Address - Street 1:PO BOX 920181
Mailing Address - Street 2:
Mailing Address - City:ARVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11692-0181
Mailing Address - Country:US
Mailing Address - Phone:917-742-4089
Mailing Address - Fax:718-474-6655
Practice Address - Street 1:514 BEACH 141ST ST
Practice Address - Street 2:
Practice Address - City:NEPONSIT
Practice Address - State:NY
Practice Address - Zip Code:11694-1249
Practice Address - Country:US
Practice Address - Phone:917-742-4089
Practice Address - Fax:718-474-6655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-15
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 2791251E00000X
CAMFC 19118251S00000X
NY005002-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health