Provider Demographics
NPI:1730173402
Name:UNIVERSITY SETTLEMENT SOCIETY OF NEW YORK
Entity type:Organization
Organization Name:UNIVERSITY SETTLEMENT SOCIETY OF NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:TOBING
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW ACSW
Authorized Official - Phone:212-453-4515
Mailing Address - Street 1:184 ELDRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-2924
Mailing Address - Country:US
Mailing Address - Phone:212-674-9120
Mailing Address - Fax:212-254-5334
Practice Address - Street 1:184 ELDRIDGE ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-2924
Practice Address - Country:US
Practice Address - Phone:212-674-9120
Practice Address - Fax:212-254-5334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01427196Medicaid