| Scan-new York-volunteer Parent Association | |
|
1377 Jerome Ave Bronx NY 10452-3325 | |
| (718) 293-2230 | |
| Not Available |
| Full Name | Scan-new York-volunteer Parent Association |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1377 Jerome Ave, Bronx, New York |
| Authorized Official Name and Position | Renee Avery (DEPUTY EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2122898030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scan-new York-volunteer Parent Association 345 E 102nd St Fl 3 New York NY 10029-5611 Ph: (212) 289-8030 | Scan-new York-volunteer Parent Association 1377 Jerome Ave Bronx NY 10452-3325 Ph: (718) 293-2230 |
| NPI Number | 1104048354 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 04/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104048354 | NPI | - | NPPES |
| 0237342 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180211338 (New York) | Primary |
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