Healthcare Provider Details

I. General information

NPI: 1881796084
Provider Name (Legal Business Name): HENRY STREET SETTLEMENT HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 03/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 MONTGOMERY STREET
NEW YORK NY
10002-6505
US

IV. Provider business mailing address

40 MONTGOMERY ST
NEW YORK NY
10002-6505
US

V. Phone/Fax

Practice location:
  • Phone: 212-233-5032
  • Fax: 212-571-4132
Mailing address:
  • Phone: 212-233-5032
  • Fax: 212-571-4132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number7002170R
License Number StateNY

VIII. Authorized Official

Name: JOSEPHINE LUME
Title or Position: CFO
Credential:
Phone: 212-766-9200