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Organization

CITY OF NEW YORK OFFICE OF PAYROLL ADMINISTRATION

Active
Other names
New York City Dept of Health & Mental Hygiene Fort Green District Heal
Organization subpart
No

Provider details

NPI number
Authorized official
JANET ELLIS (DIRECTOR OF PATIENT BILLING)
(347) 396-6299
Entity
Organization

Contact information

Practice address
295 FLATBUSH AVENUE EXT, BROOKLYN, NY 11201-3001
(347) 396-7959
(718) 643-1520
Mailing address
4209 28TH ST # CN-48, LONG ISLAND CITY, NY 11101-4130
(347) 396-6299
(347) 396-6367

Taxonomy

Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00247567
NY
Enumeration date
07/20/2006
Last updated
01/27/2025
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