Upper Room Aids Ministry

NPI 1417986340 - Clinic/Center - 261Q00000X

NPI Details
NPI 1417986340
Enumeration Date 07/02/2006
Last Updated 05/18/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TAMISHA TAMISHA
Position EXECUTIVE DIRECTOR
Phone (212) 531-1300
Fax (212) 803-2899
Practice Location
123-125 WEST 124TH ST
NEW YORK NY, 10027-4920, US
Phone (212) 531-1300
Fax (212) 803-2899
Business Location
306 LENOX AVENUE
3RD FLOOR
NEW YORK NY, 10027-4920, US
Phone (212) 803-2850
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State New York
License Number 7002153R
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According to our database, Upper Room Aids Ministry NPI is 1417986340, taxonomy code is 261Q00000X and license number is 7002153R, license state is located at New York. Upper Room Aids Ministry physically located at 123-125 West 124th St, New York NY, 10027-4920. NPI Number 1033115704 has the healthcare provider type.

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1417986340 NPI number is provided on an as is basis without warranty of any kind. 1417986340 is maintained by the National Plan & Provider Enumeration System. The contents of Upper Room Aids Ministry are for informational purposes only.