Organization
BRONX AIDS SERVICES
Active
Other names
BOOMHealth
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LAWRENCE LOWY LCSW (CHIEF STRATEGY OFFICER)
(718) 401-5700
Entity
Organization
Contact information
Practice address
760 E 160TH ST FL 2, BRONX, NY 10456-7898
(718) 401-5650
(718) 993-5308
Mailing address
540 E FORDHAM RD, BRONX, NY 10458-5015
(718) 295-5605
(718) 733-3429
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01243521
—
NY
Enumeration date
03/10/2008
Last updated
09/09/2024
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