Organization
LINCOLN MEDICAL AND MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENIA JEANNITON LCSW (SOCIAL WORKER)
(718) 576-5657
Entity
Organization
Contact information
Practice address
2 FORDHAM HILL OVAL, APT. 17B, BRONX, NY 10468-4704
(718) 484-9592
Mailing address
2 FORDHAM HILL OVAL, APT. 17B, BRONX, NY 10468-4704
(718) 484-9592
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0755221
SOCIAL WORK
NY
Enumeration date
01/17/2007
Last updated
08/22/2020
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