Provider Demographics
NPI:1750608998
Name:NYP COLUMBIA
Entity type:Organization
Organization Name:NYP COLUMBIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:212-342-5797
Mailing Address - Street 1:4588 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-2101
Mailing Address - Country:US
Mailing Address - Phone:212-342-5797
Mailing Address - Fax:212-342-1441
Practice Address - Street 1:4588 BROADWAY
Practice Address - Street 2:622 WEST 168TH ST
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-2101
Practice Address - Country:US
Practice Address - Phone:212-342-5797
Practice Address - Fax:212-342-1441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6837997273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit