Organization
THE DOOR - A CENTER OF ALTERNATIVES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE M MCCONEY MS (DIRECTOR OF ADOLESCENT HEALTH SERVI)
(212) 453-0209
Entity
Organization
Contact information
Practice address
121 AVENUE OF THE AMERICAS, NEW YORK, NY 10013-1510
(212) 941-9090
(212) 941-9614
Mailing address
121 AVENUE OF THE AMERICAS, NEW YORK, NY 10013-1510
(212) 941-9090
(212) 941-9614
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
118888-1
NY
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03824935
—
NY
Enumeration date
01/05/2007
Last updated
10/23/2017
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