Organization
LOWER WEST SIDE HOUSEHOLD SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCIA PONS (EXECUTIVE DIRECTOR)
(212) 307-7107
Entity
Organization
Contact information
Practice address
460 WILLIS AVE FL 2, BRONX, NY 10455-4013
(212) 307-7107
(646) 878-0356
Mailing address
460 WILLIS AVE FL 2, BRONX, NY 10455-4013
(212) 307-7107
(646) 878-0356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
0217L001
NY
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01552221
—
NY
05
—
01669685
—
NY
Enumeration date
03/30/2016
Last updated
12/01/2025
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