| Lower West Side Household Services Corporation | |
|
460 Willis Ave Fl 2 Bronx NY 10455-4013 | |
| (917) 607-2193 | |
| Not Available |
| Full Name | Lower West Side Household Services Corporation |
|---|---|
| Speciality | Home Health |
| Location | 460 Willis Ave Fl 2, Bronx, New York |
| Authorized Official Name and Position | Lucia Pons (DIRECTOR) |
| 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 16 E 40th St Fl 12 New York NY 10016-0113 Ph: (212) 307-7107 | Lower West Side Household Services Corporation 460 Willis Ave Fl 2 Bronx NY 10455-4013 Ph: (917) 607-2193 |
| NPI Number | 1811058522 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811058522 | NPI | - | NPPES |
| 0217L001 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | 0217L001 (New York) | Primary |
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