# NYC DEPARTMENT OF HEALTH AND MENTAL

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

## Provider details

- **NPI number:** 1215155957
- **Authorized official:** JANET ELLIS (DIRECTOR OF PATIENT BILLING)
- **Authorized official phone:** (347) 396-6299

## Contact information

- **Practice address:** 42-09 28TH STREET, 17TH FLOOR, CN-48, LONG ISLAND CITY, NY 11101-4132
- **Practice address phone:** (646) 527-0267
- **Practice address fax:** (347) 396-3667
- **Mailing address:** 42-09 28TH STREET, 17TH FLOOR, CN-48, LONG ISLAND CITY, NY 11101-4132
- **Mailing address phone:** (347) 396-6299
- **Mailing address fax:** (347) 396-3667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 09/28/2023