Provider Demographics
NPI:1487278925
Name:EPRINE COMMUNITY SERVICES NY
Entity type:Organization
Organization Name:EPRINE COMMUNITY SERVICES NY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-255-5946
Mailing Address - Street 1:1650 EASTERN PKWY STE 401
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-4804
Mailing Address - Country:US
Mailing Address - Phone:718-255-5946
Mailing Address - Fax:347-577-9445
Practice Address - Street 1:1650 EASTERN PKWY STE 401
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-4804
Practice Address - Country:US
Practice Address - Phone:718-255-5946
Practice Address - Fax:347-577-9445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-01
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management