Provider Demographics
NPI:1184873861
Name:NEW YORK MEMORY CENTER
Entity type:Organization
Organization Name:NEW YORK MEMORY CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SWANSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:718-499-7701
Mailing Address - Street 1:199 14TH STREET
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-8035
Mailing Address - Country:US
Mailing Address - Phone:718-499-7701
Mailing Address - Fax:718-768-2119
Practice Address - Street 1:199 14TH STREET
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-8035
Practice Address - Country:US
Practice Address - Phone:718-499-7701
Practice Address - Fax:718-768-2119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable