| Counseling Services Of New York Llc | |
|
911 Walton Ave Suite 1b Bronx NY 10452 | |
| (718) 590-1790 | |
| (718) 590-1791 |
| Full Name | Counseling Services Of New York Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 911 Walton Ave, Bronx, New York |
| Authorized Official Name and Position | Brian Ketay (OPERATIONS MANAGER) |
| Authorized Official Contact | 7185901790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Services Of New York Llc 911 Walton Ave Suite 1b Bronx NY 10452 Ph: () - | Counseling Services Of New York Llc 911 Walton Ave Suite 1b Bronx NY 10452 Ph: (718) 590-1790 |
| NPI Number | 1124131685 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 05/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124131685 | NPI | - | NPPES |
| 02663243 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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