Organization
NYCDOHMH EAST HARLEM DHC
Active
Other names
NYC Dept of Health and Mental Health Hygiene's East Harlem Dist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICAHEL JAMES SMOOK MASTERS IN PUBLIC AD (ADMINISTRATOR MANAGER THIRD PARTY)
(212) 232-2423
Entity
Organization
Contact information
Practice address
258 EAST 115TH STREET, NEW YORK, NY 10029-2031
(212) 360-5939
(212) 876-0338
Mailing address
125 WORTH STREET, BOX 74 RM 901, NEW YORK, NY 10013-4006
(212) 442-8468
(212) 442-8952
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
7002112R1535
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00247645
—
NY
Enumeration date
07/20/2006
Last updated
08/22/2020
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