| Community Intervention Services Llc | |
|
710 Courtlandt Avenue Bronx NY 10451 | |
| (718) 915-6443 | |
| Not Available |
| Full Name | Community Intervention Services Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 710 Courtlandt Avenue, Bronx, New York |
| Authorized Official Name and Position | Catina Burkett (OFFICE MANAGER) |
| Authorized Official Contact | 9174951978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Intervention Services Llc 710 Courtlandt Ave Bronx NY 10451-5055 Ph: (718) 915-6443 | Community Intervention Services Llc 710 Courtlandt Avenue Bronx NY 10451 Ph: (718) 915-6443 |
| NPI Number | 1073015392 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 09/06/2023 |
| Certification Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073015392 | NPI | - | NPPES |
| 00090887 | Medicaid | NY | |
| 01635529 | Medicaid | NY |
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