Provider Demographics
NPI:1447442264
Name:HENRY STREET SETTLEMENT HEALTH SERVICES INC.
Entity type:Organization
Organization Name:HENRY STREET SETTLEMENT HEALTH SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LARRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:AHTO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:212-233-5032
Mailing Address - Street 1:40 MONTGOMERY STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002
Mailing Address - Country:US
Mailing Address - Phone:212-233-5032
Mailing Address - Fax:
Practice Address - Street 1:40 MONTGOMERY STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002
Practice Address - Country:US
Practice Address - Phone:212-233-5032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333974261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health