Organization
THE DENNELISSE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUELINE LONG (DIRECTOR OF SOCIAL SERVICES)
(212) 265-8320
Entity
Organization
Contact information
Practice address
250 WEST 57TH STREET, SUITE 926, NEW YORK, NY 10107-0926
(212) 265-8320
(212) 246-2547
Mailing address
250 WEST 57TH STREET, SUITE 926, NEW YORK, NY 10107-0926
(212) 265-8320
(212) 246-2547
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01449994
—
NY
Enumeration date
03/06/2007
Last updated
08/22/2020
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