NYCDOHMH EAST HARLEM DHC NPI 1790705085

NPI Information

NPI: 1790705085
Provider Name: NYCDOHMH EAST HARLEM DHC

Other Name: NYC DEPT OF HEALTH AND MENTAL HEALTH HYGIENE'S EAST HARLEM DIST

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
258 EAST 115TH STREET
NEW YORK, NY
ZIP 10029
Phone: (212) 360-5939
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NYCDOHMH EAST HARLEM DHC is a community health clinic center in New York, NY. NYCDOHMH EAST HARLEM DHC NPI is 1790705085. The provider is registered as an organization entity type.
The provider Other Name Is Nyc Dept Of Health And Mental Health Hygiene's East Harlem Dist.

The provider's business location address is:

258 EAST 115TH STREET
NEW YORK, NY
ZIP 10029-031
Phone: (212) 360-5939
Fax: (212) 876-0338

The provider's authorized official is Micahel James Smook .
The authorized official title is Administrator Manager Third Party and has the following contact phone number (212) 232-2423.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	7002112R1535	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00247645	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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