UNDER 21 is a clinic center in New York, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). UNDER 21 NPI is 1053588988. The provider is registered as an organization entity type.
The provider Is Doing Business As Covenant House.
The provider's business location address is:
460 W 41ST
NEW YORK, NY
ZIP 10036
Phone: (212) 613-0300
Fax: (212) 268-2832
The provider's authorized official is David J Davis .
The authorized official title is Medical Director and has the following contact phone number (212) 613-0300.
The CLIA number assigned to this NPI record is 33D0909992 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 5/9/2008 and was last updated on 6/9/2017.