| Nycdoh Morrisania Dist Ctr | |
|
1309 Fulton Avenue Nycdohmh Morrisania Dhc Bronx NY 10456-2403 | |
| (718) 588-2612 | |
| (718) 992-2889 |
| Full Name | Nycdoh Morrisania Dist Ctr |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 1309 Fulton Avenue, Bronx, New York |
| Authorized Official Name and Position | Janet Ellis (DIRECTOR OF PATIENT BILING) |
| Authorized Official Contact | 3473966299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nycdoh Morrisania Dist Ctr 42-09 28th Street Cn-48 Lic NY 11101-4132 Ph: (347) 396-6299 | Nycdoh Morrisania Dist Ctr 1309 Fulton Avenue Nycdohmh Morrisania Dhc Bronx NY 10456-2403 Ph: (718) 588-2612 |
| NPI Number | 1811925605 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811925605 | NPI | - | NPPES |
| 00247627 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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