HARLEM EAST LIFE PLAN

NPI # 

Practice Address:

2369 2Nd Ave

New York, NY, 10035-3108

Practice Phone:

212-876-2300

License Number:

639361-1

License State:

NY

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Methadone

Taxonomy Code:

261QM2800X