# NYCDOHMH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NYCDOHMH CMCM/TCM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588977136
- **Authorized official:** JANET ELLIS (DIRECTOR OF PATIENT BILLING)
- **Authorized official phone:** (347) 396-6299

## Contact information

- **Practice address:** 125 WORTH ST, ROOM 901, NEW YORK, NY 10013-4006
- **Practice address phone:** (212) 232-2421
- **Practice address fax:** (212) 232-3492
- **Mailing address:** 42 BROADWAY, SUITE 1611, NEW YORK, NY 10004-1617
- **Mailing address phone:** (212) 232-2421
- **Mailing address fax:** (212) 232-2590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 1769L001 | NY | Yes |

## Other

- **Enumeration date:** 07/23/2010
- **Last updated:** 09/25/2023
