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Organization

CITY OF NEW YORK OFFICE OF PAYROLL ADMINISTRATION

Active
Other names
NYCDOHMH - Tremont District Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARITZA GIRALDO (BILLING DIRECTOR)
(347) 396-6234
Entity
Organization

Contact information

Practice address
1826 ARTHUR AVE, BRONX, NY 10457-6601
(718) 466-2214
(718) 299-7418
Mailing address
42-09 28TH STREET, LIC, NY 11101
(347) 396-6234
(347) 396-6366

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
002476181191
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00247618
NY
Enumeration date
06/29/2006
Last updated
10/04/2012
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