# NYCDOHMH-BOARD OF ED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013242726
- **Authorized official:** RYAN ELLIOT CARTER (DIRECTOR, MEDICAID & MEDICARE REVEN)
- **Authorized official phone:** (212) 232-2423

## Contact information

- **Practice address:** 2 LAFAYETTE ST, 22ND FLOOR, NEW YORK, NY 10007-1307
- **Practice address phone:** (212) 676-2474
- **Mailing address:** 42 BROADWAY, SUITE 1611, NEW YORK, NY 10004-1617
- **Mailing address phone:** (212) 232-2421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | 01647043 | NY | Yes |

## Other

- **Enumeration date:** 10/14/2009
- **Last updated:** 10/14/2009
