Organization
LINCOLN MEDICAL AND MENTAL HELATH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANISHA NICOLE MILLER LCSW (SOCIAL WORK SUPERVISOR II)
(718) 579-5657
Entity
Organization
Contact information
Practice address
234 E 149TH ST, SOCIAL WORK DEPT. RM 1B2, BRONX, NY 10451-5504
(718) 579-5657
Mailing address
2999 FREDERICK DOUGLASS BLVD, #25K, NEW YORK, NY 10039-1320
(917) 539-3563
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
072986
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072986
LCSW-SOCIAL WORK
NY
Enumeration date
01/18/2007
Last updated
08/22/2020
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