Organization
MPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUET LERCARA (STAFF PHARMACIST)
(646) 672-6477
Entity
Organization
Contact information
Practice address
600 EAST 125 ST., WARDS ISLAND COMPLEX, NEW YORK, NY 10035-6000
(646) 672-6477
(646) 672-6484
Mailing address
600 EAST 125 ST., WARDS ISLAND COMPLEX, NEW YORK, NY 10035-6000
(646) 672-6477
(646) 672-6484
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
036280
NY
Other
Enumeration date
06/10/2009
Last updated
09/09/2013
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