Provider Demographics
NPI:1306262175
Name:VISITING NURSE SERVICE OF NEW YORK
Entity type:Organization
Organization Name:VISITING NURSE SERVICE OF NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORK CLINICAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:212-290-5954
Mailing Address - Street 1:1250 BROADWAY
Mailing Address - Street 2:21ST FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3701
Mailing Address - Country:US
Mailing Address - Phone:212-609-1800
Mailing Address - Fax:212-290-4827
Practice Address - Street 1:1250 BROADWAY
Practice Address - Street 2:21ST FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3701
Practice Address - Country:US
Practice Address - Phone:212-609-1800
Practice Address - Fax:212-290-4827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072301251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management