| New York Center Of Addiction Llc | |
|
506 Willis Avenue 7th Floor Bronx NY 10455 | |
| (347) 641-5406 | |
| Not Available |
| Full Name | New York Center Of Addiction Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 506 Willis Avenue, Bronx, New York |
| Authorized Official Name and Position | Yolanda Cruz (OWNER/CEO) |
| Authorized Official Contact | 9175295806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Center Of Addiction Llc 124 East 177th Street Suite 6c Bronx County Bronx NY 10453 Ph: (917) 529-5806 | New York Center Of Addiction Llc 506 Willis Avenue 7th Floor Bronx NY 10455 Ph: (347) 641-5406 |
| NPI Number | 1447529474 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 12/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447529474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 232661-1 (New York) | Primary |
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