| Spots | |
|
611 Broadway Suite 908 New York NY 10012-2608 | |
| (212) 473-0011 | |
| Not Available |
| Full Name | Spots |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 611 Broadway, New York, New York |
| Authorized Official Name and Position | Paula Mccreedy (PRESIDENT) |
| Authorized Official Contact | 2124730011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spots 611 Broadway Suite 908 New York NY 10012-2608 Ph: (212) 473-0011 | Spots 611 Broadway Suite 908 New York NY 10012-2608 Ph: (212) 473-0011 |
| NPI Number | 1669787867 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 08/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669787867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 011361-1 (New York) | Primary |
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