Basic Information
| Provider Information | |||||||||
| NPI: | 1558433466 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LINCOLN MEDICAL AND MENTAL HEALTH CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 324 E 149TH ST | ||||||||
| Address2: | EMERGENCY DEPT | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10451 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185796011 | ||||||||
| FaxNumber: | 7185794822 | ||||||||
| Practice Location | |||||||||
| Address1: | 324 E 149TH ST | ||||||||
| Address2: | EMERGENCY DEPT | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104515602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185796011 | ||||||||
| FaxNumber: | 7185794822 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | HOSFORD | ||||||||
| AuthorizedOfficialFirstName: | KARLENE | ||||||||
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| AuthorizedOfficialTitleorPosition: | MD | ||||||||
| AuthorizedOfficialTelephone: | 7185796011 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 219939 | NY | Y | Hospitals | General Acute Care Hospital |
No ID Information.