| Comprehensive Treatment Institute Of Harlem | |
|
177 East 122nd Street 2nd Floor New York NY 10035 | |
| (212) 360-7116 | |
| (212) 289-5647 |
| Full Name | Comprehensive Treatment Institute Of Harlem |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 177 East 122nd Street, New York, New York |
| Authorized Official Name and Position | Oksana Marants (VICE PRESIDENT FINANCIAL OFFICER) |
| Authorized Official Contact | 6466297363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Treatment Institute Of Harlem 463 Fashion Ave Fl 17 New York NY 10018-7595 Ph: (646) 629-7363 | Comprehensive Treatment Institute Of Harlem 177 East 122nd Street 2nd Floor New York NY 10035 Ph: (212) 360-7116 |
| NPI Number | 1710055827 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Medicare PECOS PAC ID | 9032651914 |
|---|---|
| Medicare Enrollment ID | O20240606002617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710055827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CD010950 (New York) | Primary |
| Provider Name | Amy H Leeds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346622107 PECOS PAC ID: 3173864709 Enrollment ID: I20190409002351 |
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