Organization
LINCOLN MEDICAL AND MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILFREDO SANTOS MS,MT(ASCP)SH (ASSOCIATE DIRECTOR PATHOLOGY)
(718) 579-5848
Entity
Organization
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5848
(718) 579-4824
Mailing address
135 MONTGOMERY ST, 12G, JERSEY CITY, NJ 07302-3633
(718) 579-5848
(718) 579-4824
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
S04907830001492
NY
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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