Organization
LOWER WEST SIDE HOUSEHOLD SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIA PONS (DIRECTOR)
(212) 307-7107
Entity
Organization
Contact information
Practice address
460 WILLIS AVE FL 2, BRONX, NY 10455-4013
(917) 607-2193
Mailing address
460 WILLIS AVE FL 2, BRONX, NY 10455-4013
(212) 307-7107
(212) 956-2308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251E00000X
Home Health Agency
Primary
0217L001
NY
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217L001
LICENSE
NY
Enumeration date
12/13/2006
Last updated
12/01/2025
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