Organization
LATINO MUSLIMS OF NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUSHA C DIAZ (GENERAL MANAGER)
(646) 796-1694
Entity
Organization
Contact information
Practice address
655 BURKE AVE APT 5G, BRONX, NY 10467-6641
(646) 796-1694
(929) 243-3023
Mailing address
655 BURKE AVE APT 5G, BRONX, NY 10467-6641
(646) 796-1694
(929) 243-3023
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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