Organization
MOUNTAINSIDE - NYC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WILLIAMSON (VP, REVENUE CYCLE)
(860) 362-5232
Entity
Organization
Contact information
Practice address
243 W 18TH ST, NEW YORK, NY 10011-4569
(860) 362-5232
(877) 861-6507
Mailing address
243 W 18TH ST, NEW YORK, NY 10011-4569
(860) 362-5232
(877) 861-6507
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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