| Care For The Homeless | |
|
427 W 52nd St New York NY 10019-5605 | |
| (212) 366-4459 | |
| (212) 366-4585 |
| Full Name | Care For The Homeless |
|---|---|
| Speciality | Clinic/Center |
| Location | 427 W 52nd St, New York, New York |
| Authorized Official Name and Position | Shailja Bhatta (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2123664459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care For The Homeless 30 E 33rd St Fl 5 New York NY 10016-5337 Ph: (212) 366-4459 | Care For The Homeless 427 W 52nd St New York NY 10019-5605 Ph: (212) 366-4459 |
| NPI Number | 1912461773 |
|---|---|
| Provider Enumeration Date | 01/25/2019 |
| Last Update Date | 01/28/2019 |
| Medicare PECOS PAC ID | 9830240332 |
|---|---|
| Medicare Enrollment ID | O20221025000619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912461773 | NPI | - | NPPES |
| 03064422 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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