Provider Demographics
NPI:1427348135
Name:NEW YORK INSTITUTE OF HEALTH AND BEHAVIOR
Entity type:Organization
Organization Name:NEW YORK INSTITUTE OF HEALTH AND BEHAVIOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LCSW-R, LP
Authorized Official - Phone:347-326-5926
Mailing Address - Street 1:100 CARVER LOOP
Mailing Address - Street 2:SUITE 19D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-2922
Mailing Address - Country:US
Mailing Address - Phone:347-326-5926
Mailing Address - Fax:
Practice Address - Street 1:100 CARVER LOOP
Practice Address - Street 2:SUITE 19D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-2922
Practice Address - Country:US
Practice Address - Phone:347-326-5926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty