Under 21
Under 21 is a Clinic/Center in New York, New York. Registered with an NPI since 2008.
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
460 W 41stNew York, NY 10036
Phone: (212) 613-0300
Fax: (212) 268-2832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Federally Qualified Health Center (FQHC) | Taxonomy 261QF0400X |
Record details
| NPI number | 1053588988 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Davis — Medical Director · (212) 613-0300 |
| Other names | Covenant House |
| NPI enumerated | May 9, 2008 |
| Last updated in NPPES | June 9, 2017 |
| Mailing address | 460 W 41st, New York, NY 10036 |
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