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Organization
LINCOLN MEDICAL AND MENTAL HEALTH CENTER
Active
Organization
LINCOLN MEDICAL AND MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BALAVENKATESH KANNA MD (PROGRAM DIRECTOR,TRANSITIONAL YEAR)
(718) 579-6476
Entity
Organization
Contact information
Practice address
234 E 149TH ST, 5C, BRONX, NY 10451-5504
(718) 579-6476
Mailing address
234 E 149TH ST, 5C, BRONX, NY 10451-5504
(718) 579-6476
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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