Provider Demographics
NPI:1538547476
Name:ST. ANN'S CORNER OF HARM REDUCTION
Entity type:Organization
Organization Name:ST. ANN'S CORNER OF HARM REDUCTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY & CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAMBERTUS
Authorized Official - Middle Name:BART
Authorized Official - Last Name:MAJOOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-585-5544
Mailing Address - Street 1:886 WESTCHESTER AVE
Mailing Address - Street 2:GROUND FLOOR SUITE
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-4010
Mailing Address - Country:US
Mailing Address - Phone:718-585-5544
Mailing Address - Fax:718-585-8314
Practice Address - Street 1:886 WESTCHESTER AVE
Practice Address - Street 2:GROUND FLOOR SUITE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-4010
Practice Address - Country:US
Practice Address - Phone:718-585-5544
Practice Address - Fax:718-585-8314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health