| Bronx Lebanon Hospital | |
|
401 E 167th St Bronx NY 10456-4037 | |
| (718) 590-1800 | |
| (718) 579-7330 |
| Full Name | Bronx Lebanon Hospital |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 401 E 167th St, Bronx, New York |
| Authorized Official Name and Position | Theresa Carey (LCSW) |
| Authorized Official Contact | 7185797389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronx Lebanon Hospital 401 East 167th Street Bronx NY 10456 Ph: (718) 590-1800 | Bronx Lebanon Hospital 401 E 167th St Bronx NY 10456-4037 Ph: (718) 590-1800 |
| NPI Number | 1013312081 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 11/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013312081 | NPI | - | NPPES |
| 131974191 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 088805 (New York) | Primary |
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