Provider Demographics
NPI:1144738931
Name:HARLEM HOSPITAL
Entity Type:Organization
Organization Name:HARLEM HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW-R
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARVELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-939-8378
Mailing Address - Street 1:183 FRANKLIN ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-5801
Mailing Address - Country:US
Mailing Address - Phone:646-920-0453
Mailing Address - Fax:
Practice Address - Street 1:506 LENOX AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:212-939-4622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-16
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty