Organization
LINCOLN MEDICAL AND MENTAL HEALTH CENTER
Active
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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