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Organization

DAMON HOUSE NEW YORK, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANET M LERNER PH.D, LCSW-R (EXECUTIVE DIRECTOR)
(718) 858-0202
Entity
Organization

Contact information

Practice address
1285 ROCKAWAY AVE, BROOKLYN, NY 11236-2330
(917) 741-7157
(718) 257-5560
Mailing address
1285 ROCKAWAY AVE, BROOKLYN, NY 11236-2330
(917) 741-7157
(718) 257-5560

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1154669661
NPI#
NY
Enumeration date
01/18/2013
Last updated
09/06/2016
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