Provider Demographics
NPI:1811234768
Name:LINCOLN MEDICAL AND MENTAL HEALTH
Entity Type:Organization
Organization Name:LINCOLN MEDICAL AND MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-585-0158
Mailing Address - Street 1:2195 N CENTRAL RD
Mailing Address - Street 2:APT. 4H
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-7500
Mailing Address - Country:US
Mailing Address - Phone:201-585-0158
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:718-579-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital