Provider Demographics
NPI:1558198010
Name:BIRCH FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:BIRCH FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:STURIALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-616-1811
Mailing Address - Street 1:104 W 29TH ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5310
Mailing Address - Country:US
Mailing Address - Phone:212-616-1800
Mailing Address - Fax:212-741-6896
Practice Address - Street 1:155-19 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-1017
Practice Address - Country:US
Practice Address - Phone:212-616-1877
Practice Address - Fax:212-741-6896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities