Provider Demographics
NPI:1659723401
Name:HARLEM
Entity Type:Organization
Organization Name:HARLEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAMME COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SIMONE
Authorized Official - Middle Name:
Authorized Official - Last Name:GITTENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1212-939-2219
Mailing Address - Street 1:2190 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-2205
Mailing Address - Country:US
Mailing Address - Phone:972-729-0449
Mailing Address - Fax:
Practice Address - Street 1:506 LENOX AVE BLDG 14-106
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:212-939-2291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital