Provider Demographics
NPI:1639882012
Name:THE LENOX-UNIM COMMUNITY HEALTH INITIATIVE
Entity Type:Organization
Organization Name:THE LENOX-UNIM COMMUNITY HEALTH INITIATIVE
Other - Org Name:THE UN INTERNATIONAL MISSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMMISSIONER, PRESIDENT, CASE MGR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:C
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-585-1515
Mailing Address - Street 1:51 E 125TH ST
Mailing Address - Street 2:SUITE 3L
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-1685
Mailing Address - Country:US
Mailing Address - Phone:212-470-1465
Mailing Address - Fax:646-470-1465
Practice Address - Street 1:51 E 125TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-1685
Practice Address - Country:US
Practice Address - Phone:212-470-1465
Practice Address - Fax:646-921-3189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-02
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001135OtherOFFICIAL NYS DOH