Provider Demographics
NPI:1689309171
Name:NYC HEALTH AND HOSPITALS LINCOLN
Entity Type:Organization
Organization Name:NYC HEALTH AND HOSPITALS LINCOLN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GME COORDINATING MANAGER - DENTAL
Authorized Official - Prefix:
Authorized Official - First Name:DEJON
Authorized Official - Middle Name:
Authorized Official - Last Name:SKENDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-579-5692
Mailing Address - Street 1:210 E 47TH ST APT 3E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-2104
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:234 E 149TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5504
Practice Address - Country:US
Practice Address - Phone:718-579-5690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental