| Elmurst Hospital Center | |
|
Nyc Health & Hospitals/elmhurst Act Team 78-07 41st Avenue Elmhurst NY 11373-1147 | |
| (212) 423-8700 | |
| (718) 334-5990 |
| Full Name | Elmurst Hospital Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Nyc Health & Hospitals/elmhurst Act Team, Elmhurst, New York |
| Authorized Official Name and Position | Manny Lacayo (SENIOR ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 7183345597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmurst Hospital Center Nyc Health & Hospitals/elmhurst 7901 Broadway D1-04 Elmhurst NY 11373-1329 Ph: (718) 334-5597 | Elmurst Hospital Center Nyc Health & Hospitals/elmhurst Act Team 78-07 41st Avenue Elmhurst NY 11373-1147 Ph: (212) 423-8700 |
| NPI Number | 1396932380 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396932380 | NPI | - | NPPES |
| 02920785 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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