Provider Demographics
NPI:1154191674
Name:CENTER FOR THE INDEPENDENCE OF THE DISABLED IN NEW YORK, INC.
Entity type:Organization
Organization Name:CENTER FOR THE INDEPENDENCE OF THE DISABLED IN NEW YORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLENNON WIER
Authorized Official - Suffix:
Authorized Official - Credentials:, PHD, MSED, CRC
Authorized Official - Phone:646-933-0174
Mailing Address - Street 1:1010 AVENUE OF THE AMERICAS
Mailing Address - Street 2:SUITE #301
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10080-0023
Mailing Address - Country:US
Mailing Address - Phone:212-674-2300
Mailing Address - Fax:
Practice Address - Street 1:1010 AVENUE OF THE AMERICAS
Practice Address - Street 2:SUITE #301
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10080-0023
Practice Address - Country:US
Practice Address - Phone:212-674-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management