Provider Demographics
NPI:1497130835
Name:DEPARTMENT OF HEALTH & MENTAL HYGIENE
Entity Type:Organization
Organization Name:DEPARTMENT OF HEALTH & MENTAL HYGIENE
Other - Org Name:DOHMH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:DEBRA
Authorized Official - Last Name:THELWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-303-6826
Mailing Address - Street 1:1311 E 83RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-5101
Mailing Address - Country:US
Mailing Address - Phone:347-303-6826
Mailing Address - Fax:
Practice Address - Street 1:42-09 28TH STREET
Practice Address - Street 2:CN 39
Practice Address - City:QUEENS
Practice Address - State:NY
Practice Address - Zip Code:11101-4132
Practice Address - Country:US
Practice Address - Phone:347-396-2153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY437666251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care