Organization
LINCOLN MEDICAL AND MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BALAVENKATESH KANNA MD (PROGRAM DIRECTOR,TRANSITIONAL YEAR)
(718) 579-6476
Entity
Organization
Contact information
Practice address
234 E 149TH ST, 5C, BRONX, NY 10451-5504
(718) 579-6476
Mailing address
234 E 149TH ST, 5C, BRONX, NY 10451-5504
(718) 579-6476
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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