| Preston Center Of Compassion | |
|
2780 Schurz Ave Bronx NY 10465-3234 | |
| (718) 863-9134 | |
| (718) 863-6125 |
| Full Name | Preston Center Of Compassion |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2780 Schurz Ave, Bronx, New York |
| Authorized Official Name and Position | Carol Theresa Wagner (DIRECTOR OF COUNSELING) |
| Authorized Official Contact | 7188639134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Center Of Compassion 2780 Schurz Ave Bronx NY 10465-3234 Ph: (718) 863-9134 | Preston Center Of Compassion 2780 Schurz Ave Bronx NY 10465-3234 Ph: (718) 863-9134 |
| NPI Number | 1760513774 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6406019645 |
|---|---|
| Medicare Enrollment ID | O20120525000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760513774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Carol Theresa Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760537062 PECOS PAC ID: 3072788488 Enrollment ID: I20111214000359 |
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