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Organization

LOWER WEST SIDE HOUSEHOLD SERVICES CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUCIA PONS (EXECUTIVE DIRECTOR)
(212) 307-7107
Entity
Organization

Contact information

Practice address
75 SOUTH BROADWAY, 4TH FLOOR, SUITE 464, WHITE PLAINS, NY 10601
(914) 722-2467
Mailing address
75 S BROADWAY, WHITE PLAINS, NY 10601-4413

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
251E00000X
Home Health Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0217L002
LICENSE
NY
Enumeration date
05/22/2025
Last updated
12/01/2025
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