Provider Demographics
NPI:1588815328
Name:LYNDHURST HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:LYNDHURST HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:PA, MA
Authorized Official - Phone:201-804-2421
Mailing Address - Street 1:253 STUYVESANT AVE
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-1832
Mailing Address - Country:US
Mailing Address - Phone:201-804-2421
Mailing Address - Fax:201-438-1944
Practice Address - Street 1:253 STUYVESANT AVE
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-1832
Practice Address - Country:US
Practice Address - Phone:201-804-2421
Practice Address - Fax:201-438-1944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare