| Riverdale Mental Health Clinic-mica Pgrm | |
|
5676 Riverdale Ave Suite 202 Bronx NY 10471-2138 | |
| (718) 796-5300 | |
| Not Available |
| Full Name | Riverdale Mental Health Clinic-mica Pgrm |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5676 Riverdale Ave, Bronx, New York |
| Authorized Official Name and Position | Robert Brewster (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7187965300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverdale Mental Health Clinic-mica Pgrm 5676 Riverdale Ave Suite 202 Bronx NY 10471-2138 Ph: (718) 796-5300 | Riverdale Mental Health Clinic-mica Pgrm 5676 Riverdale Ave Suite 202 Bronx NY 10471-2138 Ph: (718) 796-5300 |
| NPI Number | 1649299694 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649299694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6733100A (New York) | Primary |
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