Organization
CITY OF NEW YORK OFFICE OF PAYROLL ADMINISTRATION
Active
Other names
NYCDOHMH Bedford 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
485 TROOP AVE, NYCDOHMH BEDFORD DHC, BROOKLYN, NY 11221-1037
(212) 575-2459
(212) 919-1026
Mailing address
42-09 28TH STREET CN-48, LONG ISLAND CITY, NY 11101-4132
(347) 396-6234
(347) 396-6366
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
7002112R5622
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00247609
—
NY
Enumeration date
06/29/2006
Last updated
05/03/2013
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