| Lincoln Medical Center Cobra Case Management | |
|
234 E 149th St Room 2a1 Bronx NY 10451-5504 | |
| (718) 579-5432 | |
| (718) 579-4682 |
| Full Name | Lincoln Medical Center Cobra Case Management |
|---|---|
| Speciality | Clinic/center |
| Location | 234 E 149th St, Bronx, New York |
| Authorized Official Name and Position | Maxine J. Katz (ASSISTANT VICE PRESIDENT) |
| Authorized Official Contact | 6464583402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Medical Center Cobra Case Management 160 Water St Room 736 New York NY 10038-4922 Ph: (646) 458-3402 | Lincoln Medical Center Cobra Case Management 234 E 149th St Room 2a1 Bronx NY 10451-5504 Ph: (718) 579-5432 |
| NPI Number | 1114048543 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114048543 | NPI | - | NPPES |
| 02735239 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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