Organization
HARLEM EAST LIFE PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE N KING (ADMINISTRATIVE DIRECTOR)
(212) 876-2300
Entity
Organization
Contact information
Practice address
2367 2ND AVE, NEW YORK, NY 10035-3108
(212) 876-2300
(917) 492-9292
Mailing address
2367 2ND AVE, NEW YORK, NY 10035-3108
(212) 876-2300
(917) 492-9292
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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