Organization
GOUVERNEUR HEALTHCARE SERVICES
Active
Other names
New York City Health And Hospitals Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MENDEL HAGLER ESQ., (EXECUTIVE DIRECTOR)
(212) 238-7663
Entity
Organization
Contact information
Practice address
227 MADISON ST, PHARMACY FIRST FLOOR, NEW YORK, NY 10002-7537
(212) 238-7071
(212) 238-7009
Mailing address
227 MADISON ST, PHARMACY FIRST FLOOR, NEW YORK, NY 10002-7537
(212) 238-7071
(212) 238-7009
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0301112
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00243352
—
NY
05
—
00246084
—
NY
05
—
00343288
—
NY
01
—
013844
GOUVERNEUR PHARMACY LIC#
NY
01
—
0301112
STATE NARCOTICS LIC#
NY
Enumeration date
02/07/2007
Last updated
03/07/2023
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