Provider Demographics
NPI:1881767663
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:ASSOCIATE CHIEF RADIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:HOOMA
Authorized Official - Middle Name:NASIR
Authorized Official - Last Name:ZAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-579-5579
Mailing Address - Street 1:12 MEADOW RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2833
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:234 EAST 149TH ST
Practice Address - Street 2:LINCOLN MEDICAL AND MENTAL HEALTH CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-579-5579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY157053282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access