Organization
SRH CHN LEAD HEALTH HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN ZUCKERMAN (REGIONAL CHIEF FINANCIAL OFFICER)
(718) 681-8700
Entity
Organization
Contact information
Practice address
1200 BROWN STREET, ATTN: HEALTH HOME, PEEKSKILL, NY 10566-2913
(718) 681-8700
Mailing address
1200 BROWN STREET, ATTN: HEALTH HOME, PEEKSKILL, NY 10566-2913
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
07/22/2022
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