Organization
HARLEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIMONE GITTENS (PROGRAMME COORDINATOR)
12129392219
Entity
Organization
Contact information
Practice address
506 LENOX AVE BLDG 14-106, NEW YORK, NY 10037-1802
(212) 939-2291
Mailing address
2190 MADISON AVE, NEW YORK, NY 10037-2205
(972) 729-0449
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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