Mind Bridge Wellness | |
445 Park Avenue Fl 9 90167 New York NY 10022 | |
(347) 300-5858 | |
Not Available |
Full Name | Mind Bridge Wellness |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 445 Park Avenue Fl 9, New York, New York |
Authorized Official Name and Position | Linda Fuller (OWNER) |
Authorized Official Contact | 3473005858 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mind Bridge Wellness 1102 Gates Ave Brooklyn NY 11221-4304 Ph: (347) 300-5858 | Mind Bridge Wellness 445 Park Avenue Fl 9 90167 New York NY 10022 Ph: (347) 300-5858 |
NPI Number | 1245052885 |
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Provider Enumeration Date | 10/25/2024 |
Last Update Date | 10/25/2024 |
Certification Date | 10/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245052885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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