Organization
NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET ELLIS (DIRECTOR OF PATIENT BILLING)
(347) 396-6299
Entity
Organization
Contact information
Practice address
4209 28TH ST # CN-48, LONG ISLAND CITY, NY 11101-4130
(347) 396-6299
(347) 396-6367
Mailing address
4209 28TH ST # CN-48, LONG ISLAND CITY, NY 11101-4130
(347) 396-6299
(347) 396-6367
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01426888
—
NY
Enumeration date
04/18/2007
Last updated
09/25/2023
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