| Prometheus Ii Cdtp | |
|
760 East 160th Street, Cellar Bronx NY 10456-7815 | |
| (347) 503-5527 | |
| (718) 585-0748 |
| Full Name | Prometheus Ii Cdtp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 760 East 160th Street, Cellar, Bronx, New York |
| Authorized Official Name and Position | Daniel L Lowy (INTERIM CO-EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7184015650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prometheus Ii Cdtp 760 E 160th St Bronx NY 10456-7815 Ph: () - | Prometheus Ii Cdtp 760 East 160th Street, Cellar Bronx NY 10456-7815 Ph: (347) 503-5527 |
| NPI Number | 1730491671 |
|---|---|
| Provider Enumeration Date | 07/08/2010 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730491671 | NPI | - | NPPES |
| 03264986 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 7922300B (New York) | Primary |
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