| Department Of Health | |
|
370 W 118th St Suite 2b New York NY 10026-1015 | |
| (212) 864-2400 | |
| Not Available |
| Full Name | Department Of Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 370 W 118th St, New York, New York |
| Authorized Official Name and Position | Ponzella O Johnson (STAFF NURSE) |
| Authorized Official Contact | 2128642400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Health 370 W 118th St Suite 2b New York NY 10026-1015 Ph: () - | Department Of Health 370 W 118th St Suite 2b New York NY 10026-1015 Ph: (212) 864-2400 |
| NPI Number | 1801250295 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801250295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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