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46 Gramatan Ave Ste 1109 Mount Vernon NY 10550-1306 | |
| (295) 877-8859 | |
| (646) 357-1814 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 46 Gramatan Ave Ste 1109, Mount Vernon, New York |
| Authorized Official Name and Position | Tanesha Morgan (CEO) |
| Authorized Official Contact | 9295877885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
46 Gramatan Ave Ste 1109 Mount Vernon NY 10550-1306 Ph: (295) 877-8859 | 46 Gramatan Ave Ste 1109 Mount Vernon NY 10550-1306 Ph: (295) 877-8859 |
| NPI Number | 1548924087 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 01/01/2024 |
| Certification Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548924087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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