Organization
COMUNILIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK BADILLO MSW (CLINIC DIRECTOR)
(718) 364-7700
Entity
Organization
Contact information
Practice address
214 W 29TH ST, NEW YORK, NY 10001-5203
(212) 219-1618
Mailing address
214 W 29TH ST, NEW YORK, NY 10001-5203
(212) 219-1618
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
61526329
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61526329
—
NY
Enumeration date
09/18/2009
Last updated
09/18/2009
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