Provider Demographics
NPI:1700124096
Name:LINCOLN MEDICAL AND MENTAL HEALTH CENTER
Entity Type:Organization
Organization Name:LINCOLN MEDICAL AND MENTAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC RESIDENT PGY-3
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREEA
Authorized Official - Middle Name:STEFANIA
Authorized Official - Last Name:MARINESCU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-488-6905
Mailing Address - Street 1:2002 37TH ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-1629
Mailing Address - Country:US
Mailing Address - Phone:347-488-6905
Mailing Address - Fax:
Practice Address - Street 1:2002 37TH ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-1629
Practice Address - Country:US
Practice Address - Phone:347-488-6905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital