Provider Demographics
NPI:1215293998
Name:PRIDE HEALTH
Entity type:Organization
Organization Name:PRIDE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:FINDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-235-5353
Mailing Address - Street 1:420 LEXINGTON AVE
Mailing Address - Street 2:SUITE 2220
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10170-0002
Mailing Address - Country:US
Mailing Address - Phone:212-235-5300
Mailing Address - Fax:212-599-3427
Practice Address - Street 1:420 LEXINGTON AVENUE
Practice Address - Street 2:SUITE 2220
Practice Address - City:NEW YORK
Practice Address - State:NM
Practice Address - Zip Code:10170
Practice Address - Country:US
Practice Address - Phone:212-235-5300
Practice Address - Fax:212-599-3427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-06
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034750251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services