Organization
GOTHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET GOLDEN (EXECUTIVE DIRECTOR)
(212) 477-6100
Entity
Organization
Contact information
Practice address
116 JOHN ST., NEW YORK, NY 10038-3414
(212) 385-0086
Mailing address
135 WATKINS ST, BROOKLYN, NY 11212-6712
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
641372
NY
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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