Organization
CITY OF NEW YORK OFFICE OF PAYROLL ADMINISTRATION
Active
Other names
NYCDOHMH Riverside District H
Organization subpart
No
Provider details
NPI number
Authorized official
JANET ELLIS (DIRECTOR OF PATIENT BILLING)
(347) 396-6299
Entity
Organization
Contact information
Practice address
160 WEST 100TH STREET, NYCDOHMH RIVERSIDE DHC, NEW YORK, NY 10025-5145
(212) 280-9730
(212) 280-9297
Mailing address
42-09 28TH STREET CN-48, LONG ISLAND CITY, NY 11101-4132
(347) 396-6299
(347) 396-6367
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00247636
—
NY
Enumeration date
05/27/2006
Last updated
09/28/2023
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