| Hope, The Other Side | |
|
1500 Astor Ave Fl 2 Bronx NY 10469-5900 | |
| (347) 674-7716 | |
| Not Available |
| Full Name | Hope, The Other Side |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1500 Astor Ave Fl 2, Bronx, New York |
| Authorized Official Name and Position | Crystal Mothersill (LICENSE CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3476747716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope, The Other Side 1185 Bryant Ave # 1 Bronx NY 10459-2079 Ph: () - | Hope, The Other Side 1500 Astor Ave Fl 2 Bronx NY 10469-5900 Ph: (347) 674-7716 |
| NPI Number | 1952123523 |
|---|---|
| Provider Enumeration Date | 10/25/2024 |
| Last Update Date | 10/25/2024 |
| Certification Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952123523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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