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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
VYAS PERSAUD MD (PSYCHIATRIST)
(718) 579-5015
Entity
Organization
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5015
Mailing address
179 DEERFIELD LN N, PLEASANTVILLE, NY 10570-1429
(914) 741-0788
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
163189
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00966192
—
NY
Enumeration date
12/11/2006
Last updated
08/22/2020
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