Provider Demographics
NPI:1306291521
Name:RICHMOND CHILDREN CENTER
Entity type:Organization
Organization Name:RICHMOND CHILDREN CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STANOJKA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPOVAC
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPT, CWS
Authorized Official - Phone:914-471-4109
Mailing Address - Street 1:272 N BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1166
Mailing Address - Country:US
Mailing Address - Phone:914-471-4100
Mailing Address - Fax:914-471-4111
Practice Address - Street 1:1291 SAW MILL RIVER RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-2700
Practice Address - Country:US
Practice Address - Phone:914-226-8714
Practice Address - Fax:914-294-0379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7671310261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities