NYCDOHMH EAST HARLEM DHC


Address: 258 East 115th Street, New York, NY 10029-2031
Phone: 2123605939

NYCDOHMH EAST HARLEM DHC (NPI# 1790705085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790705085
Entity Type Organization
Organization Name NYCDOHMH EAST HARLEM DHC
Other Organization Name NYC DEPT OF HEALTH AND MENTAL HEALTH HYGIENE'S EAST HARLEM DIST
Practice Address 258 East 115th Street
New York
NY 10029-2031
Mailing Address 125 Worth Street
Box 74 Rm 901
New York
NY 10013-4006
Practice Telephone 2123605939
Practice Fax Number 2128760338
Mailing Telephone 2124428468
Mailing Fax Number 2124428952
Enumeration Date 2006-07-20
Last Update Date 2020-08-22
Authorized Official Name MR. MICAHEL JAMES SMOOK (ADMINISTRATOR MANAGER THIRD PARTY)
Authorized Official Telephone 2122322423
Authorized Official Credential MASTERS IN PUBLI
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
7002112R1535 NY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 00247645 05

Other Provider/Organization Names

Other Name Type Code
NYC Dept of Health and Mental Health Hygiene's East Harlem Dist Other Name - Individual/Organization

Office Location

Street Address 258 EAST 115TH STREET
City NEW YORK
State NY
Zip Code 10029-2031

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316547029 Erica Marie Mclaughlin Counselor 109 E. 115th Street, New York, NY 10029 2020-10-30
1992305601 Ayan Kumar Student in an Organized Health Care Education/Training Program New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 2020-10-30
1538767306 Noily Noemi Nezbeth Registered Nurse 1 Gustav Levy, New York, NY 10029 2020-10-14
1457959652 Marwan Nihad Abdel Rauf Yusuf Student in an Organized Health Care Education/Training Program Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 2020-10-12
1225635014 Alice Liang Registered Nurse 35 East 110th St, New York, NY 10029 2020-10-05
1013525724 Avihai Moscovici Student in an Organized Health Care Education/Training Program 1 Gustave L. Levy Pl, New York, New York, NY 10029 2020-07-20
1912523473 Gayathri Sreenivasan Student in an Organized Health Care Education/Training Program 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 2020-06-22
1417572801 Rachana Borkar Student in an Organized Health Care Education/Training Program 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 2020-06-11
1831713197 Dania Isabel Antunez Student in an Organized Health Care Education/Training Program 1901 1 St Avenue, New York, NY 10029 2020-06-02
1972122323 Antoine Beayno Student in an Organized Health Care Education/Training Program The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 2020-04-15
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10029

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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