Provider Demographics
NPI:1558433466
Name:LINCOLN MEDICAL AND MENTAL HEALTH CENTER
Entity Type:Organization
Organization Name:LINCOLN MEDICAL AND MENTAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:KARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-579-6011
Mailing Address - Street 1:324 E 149TH ST
Mailing Address - Street 2:EMERGENCY DEPT
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451
Mailing Address - Country:US
Mailing Address - Phone:718-579-6011
Mailing Address - Fax:718-579-4822
Practice Address - Street 1:324 E 149TH ST
Practice Address - Street 2:EMERGENCY DEPT
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5602
Practice Address - Country:US
Practice Address - Phone:718-579-6011
Practice Address - Fax:718-579-4822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219939282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital