Provider Demographics
NPI:1104095322
Name:NEIGHBORHOOD COALITION FOR SHELTER INC.
Entity type:Organization
Organization Name:NEIGHBORHOOD COALITION FOR SHELTER INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ON'EALLL
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:212-249-6429
Mailing Address - Street 1:157 E 86TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2175
Mailing Address - Country:US
Mailing Address - Phone:212-537-5100
Mailing Address - Fax:212-860-2301
Practice Address - Street 1:921 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3508
Practice Address - Country:US
Practice Address - Phone:212-249-6429
Practice Address - Fax:212-794-0129
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEIGHBORHOOD COLAITION FOR SHELTER INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care