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Organization

CITY OF NEW YORK OFFICE OF PAYROLL ADMINISTRATION

Active
Other names
NYCDOHMH Bushwick District
Organization subpart
No

Provider details

NPI number
Authorized official
MARITZA GIRALDO (BILLING DIRECTOR)
(347) 396-6234
Entity
Organization

Contact information

Practice address
335 CENTRAL AVE NYCDOHMH BUSHWICK DHC, BROOKLYN, NY 11221-4501
(718) 573-4886
(718) 573-4899
Mailing address
42-09 28TH STREET CN-48, LONG ISLAND CITY, NY 11101-4132
(347) 396-6234
(347) 396-6366

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
7002112R13UT
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00247585
NY
Enumeration date
05/26/2006
Last updated
05/03/2013
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