Organization
LOWER WEST SIDE HOUSEHOLD SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY DENG (CHIEF FINANCIAL OFFICER)
(212) 307-7107
Entity
Organization
Contact information
Practice address
225 DOLSON AVE STE 206A, MIDDLETOWN, NY 10940-6570
(914) 722-2467
Mailing address
225 DOLSON AVE, MIDDLETOWN, NY 10940-6569
(212) 307-7107
(646) 878-0356
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217L002
LICENSE
NY
Enumeration date
05/02/2025
Last updated
12/01/2025
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