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NPI 1154767010

OrganizationActive

Harlem East Life Plan

NPI 1154767010 · Methadone Clinic · New York, NY

Provider details

NPI number: 1154767010
Entity type: Organization
Primary specialty: Methadone ClinicAmbulatory Health Care Facilities
Authorized official: Joanne King, Executive Director
License: 639361-1 (NY)

Practice location

2369 2nd Ave

New York, NY 10035-3108

Phone: (212) 876-2300

More NY providers

Mailing address

2369 2nd Ave

New York, NY 10035-3108

Registry dates

Enumerated: 2013-05-20
Last updated: 2013-05-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Harlem East Life Plan — NPI 1154767010, New York, NY | NPI Central