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Organization
HARLEM EAST LIFE PLAN
Active
Organization
HARLEM EAST LIFE PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE KING (EXECUTIVE DIRECTOR)
(212) 867-2300
Entity
Organization
Contact information
Practice address
2369 2ND AVE, NEW YORK, NY 10035-3108
(212) 876-2300
Mailing address
2369 2ND AVE, NEW YORK, NY 10035-3108
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
639361-1
NY
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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