| Kamehameha Health And Wellness Nonprofit Corporation | |
|
3250 Weschester Avenue Suite Ll4 Bronx NY 10461-4548 | |
| (718) 684-6465 | |
| (718) 684-6467 |
| Full Name | Kamehameha Health And Wellness Nonprofit Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 3250 Weschester Avenue, Bronx, New York |
| Authorized Official Name and Position | Purificacion Cristobal (MANAGING AGENT) |
| Authorized Official Contact | 7186846465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kamehameha Health And Wellness Nonprofit Corporation 3250 Weschester Avenue Suite Ll4 Bronx NY 10461-4548 Ph: (718) 684-6465 | Kamehameha Health And Wellness Nonprofit Corporation 3250 Weschester Avenue Suite Ll4 Bronx NY 10461-4548 Ph: (718) 684-6465 |
| NPI Number | 1326432238 |
|---|---|
| Provider Enumeration Date | 03/28/2015 |
| Last Update Date | 10/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326432238 | NPI | - | NPPES |
| 05459852 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
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