Organization
LINCOLN MEDICAL & MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JANIS LASKY LCSW-R (SOCIAL WORK SUPERVISOR I)
(718) 579-5657
Entity
Organization
Contact information
Practice address
11045 71ST RD, FOREST HILLS, NY 11375-4960
(718) 793-4293
Mailing address
11045 71ST RD, FOREST HILLS, NY 11375-4960
(718) 793-4293
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0168261
SOCIAL WORK
NY
Enumeration date
01/17/2007
Last updated
08/22/2020
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