| Lower West Side Household Services Corporation | |
|
225 Dolson Ave Ste 206a Middletown NY 10940-6570 | |
| (914) 722-2467 | |
| Not Available |
| Full Name | Lower West Side Household Services Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 225 Dolson Ave Ste 206a, Middletown, New York |
| Authorized Official Name and Position | Kelly Deng (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2123077107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lower West Side Household Services Corporation 225 Dolson Ave Ste 206a Middletown NY 10940-6570 Ph: (212) 307-7107 | Lower West Side Household Services Corporation 225 Dolson Ave Ste 206a Middletown NY 10940-6570 Ph: (914) 722-2467 |
| NPI Number | 1417746918 |
|---|---|
| Provider Enumeration Date | 05/02/2025 |
| Last Update Date | 05/02/2025 |
| Certification Date | 05/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417746918 | NPI | - | NPPES |
| 0217L002 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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