Organization
NYCDOHMH
Active
Organization
NYCDOHMH
Active
Other names
NYCDOHMH CMCM/TCM
Organization subpart
No
Provider details
NPI number
Authorized official
JANET ELLIS (DIRECTOR OF PATIENT BILLING)
(347) 396-6299
Entity
Organization
Contact information
Practice address
125 WORTH ST, ROOM 901, NEW YORK, NY 10013-4006
(212) 232-2421
(212) 232-3492
Mailing address
42 BROADWAY, SUITE 1611, NEW YORK, NY 10004-1617
(212) 232-2421
(212) 232-2590
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
1769L001
NY
Other
Enumeration date
07/23/2010
Last updated
09/25/2023
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