Organization
NYCDOHMH
Active
Organization
NYCDOHMH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACITA MARCELLUS-COQ (NIC)
(718) 254-8997
Entity
Organization
Contact information
Practice address
295 FLATBUSH AVENUE EXT, BROOKLYN, NY 11201-3001
(718) 254-8997
Mailing address
10 ROSE ST, BROOKLYN, NY 11236-3426
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
467933-1
NY
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up