Provider Demographics
NPI:1992171656
Name:UNIVERSITY SETTLEMENT
Entity type:Organization
Organization Name:UNIVERSITY SETTLEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTATION CENTER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PURVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-453-4594
Mailing Address - Street 1:184 ELDRIGE STREET
Mailing Address - Street 2:
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10002-9991
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:121 AVENUE OF AMERICAS STREET
Practice Address - Street 2:ROOM 304
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-9998
Practice Address - Country:US
Practice Address - Phone:212-941-9090
Practice Address - Fax:212-966-1840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0679571251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health