Basic Information
| Provider Information | |||||||||
| NPI: | 1528082013 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | COMUNILIFE, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 214 W 29TH ST | ||||||||
| Address2: | 8TH FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100015203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122191618 | ||||||||
| FaxNumber: | 2122192087 | ||||||||
| Practice Location | |||||||||
| Address1: | 4419 3RD AVENUE | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7183647700 | ||||||||
| FaxNumber: | 7183641513 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2006 | ||||||||
| LastUpdateDate: | 10/27/2016 | ||||||||
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| AuthorizedOfficialLastName: | CIFRE' | ||||||||
| AuthorizedOfficialFirstName: | ROSA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHIEF PROGRAM OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 7187648287 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | LCSW-R | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251V00000X | Y | Agencies | Voluntary or Charitable |
No ID Information.