MEDICARE: AIDS SERVICE CENTER OF LOWER MANHATTAN, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency		NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710109947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIDS SERVICE CENTER OF LOWER MANHATTAN, INC

Provider Business Mailing Address
First Line	:	41 E 11TH ST
Second Line	:	5TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10003-4602
Country	:	US
Telephone Number	:	212-645-0875
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 E 11TH ST
Second Line	:	5TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10003-4602
Country	:	US
Telephone Number	:	212-645-0875
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR-CEO
Name	:	MS. SHAREN I DUKE
Credential	:
Telephone Number	:	212-645-0875

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	08/22/2020

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