NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1093868770 |   |   |   | LINCOLN MEDICAL AND MENTAL HELATH CENTER | 2999 FREDERICK DOUGLASS BLVD | NEW YORK | NY | 100391320 |
1407900103 | MILLER | TANISHA |   |   | 2999 FREDERICK DOUGLASS BLVD | NEW YORK | NY | 100391320 |