| Rize-up Bronx Llc | |
|
3033 Godwin Ter Apt 4c Bronx NY 10463-5344 | |
| (646) 204-2295 | |
| (855) 257-2380 |
| Full Name | Rize-up Bronx Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3033 Godwin Ter Apt 4c, Bronx, New York |
| Authorized Official Name and Position | Danielle Matias (MANAGING MEMBER) |
| Authorized Official Contact | 6462042295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rize-up Bronx Llc 3033 Godwin Ter Apt 4c Bronx NY 10463-5344 Ph: (646) 204-2295 | Rize-up Bronx Llc 3033 Godwin Ter Apt 4c Bronx NY 10463-5344 Ph: (646) 204-2295 |
| NPI Number | 1962023671 |
|---|---|
| Provider Enumeration Date | 05/04/2020 |
| Last Update Date | 05/04/2020 |
| Certification Date | 05/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962023671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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