Jacobi Medical Center Assertive Community Treatment | |
1400 Pelham Pkwy S Bronx NY 10461-1138 | |
(718) 918-3287 | |
(718) 918-7113 |
Full Name | Jacobi Medical Center Assertive Community Treatment |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1400 Pelham Pkwy S, Bronx, New York |
Authorized Official Name and Position | Maxine J. Katz (ASSITANT VICE PRESIDENT) |
Authorized Official Contact | 6464583402 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jacobi Medical Center Assertive Community Treatment 160 Water St Room 736 New York NY 10038-4922 Ph: (646) 458-3402 | Jacobi Medical Center Assertive Community Treatment 1400 Pelham Pkwy S Bronx NY 10461-1138 Ph: (718) 918-3287 |
NPI Number | 1609996396 |
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Provider Enumeration Date | 03/29/2007 |
Last Update Date | 06/23/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609996396 | NPI | - | NPPES |
02996523 | Medicaid | NY | |
02717540 | Medicaid | NY | |
02660231 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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