Provider Demographics
NPI:1316350788
Name:ESPERANZA
Entity type:Organization
Organization Name:ESPERANZA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HURWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-979-8800
Mailing Address - Street 1:2006 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-1217
Mailing Address - Country:US
Mailing Address - Phone:212-979-8800
Mailing Address - Fax:212-979-8917
Practice Address - Street 1:170 E 107TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-3905
Practice Address - Country:US
Practice Address - Phone:212-722-7507
Practice Address - Fax:212-722-7583
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PALLADIA, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility