Provider Demographics
NPI:1326253048
Name:EAST HARLEM COUNCIL FOR HUMAN SERVICES
Entity Type:Organization
Organization Name:EAST HARLEM COUNCIL FOR HUMAN SERVICES
Other - Org Name:BORIKEN NEIGHBORHOOD HEALTH CENTER INC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIXABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-289-6650
Mailing Address - Street 1:2253 3RD AVE
Mailing Address - Street 2:3RD FLOOR MEDICAL CLINIC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-2206
Mailing Address - Country:US
Mailing Address - Phone:212-289-6650
Mailing Address - Fax:212-360-5088
Practice Address - Street 1:2253 3RD AVE
Practice Address - Street 2:3RD FLOOR MEDICAL CLINIC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-2206
Practice Address - Country:US
Practice Address - Phone:212-289-6650
Practice Address - Fax:212-360-5088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR038282-1261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service