| Bronx Counseling Center Llc | |
|
593 E Tremont Ave Ste B Bronx NY 10457-4727 | |
| (718) 583-7736 | |
| Not Available |
| Full Name | Bronx Counseling Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 593 E Tremont Ave Ste B, Bronx, New York |
| Authorized Official Name and Position | Nidhi Saghal (OWNER) |
| Authorized Official Contact | 7186180401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronx Counseling Center Llc 2626 Halperin Ave Fl 1 Bronx NY 10461-2631 Ph: () - | Bronx Counseling Center Llc 593 E Tremont Ave Ste B Bronx NY 10457-4727 Ph: (718) 583-7736 |
| NPI Number | 1104668912 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 09/04/2024 |
| Medicare PECOS PAC ID | 8820521867 |
|---|---|
| Medicare Enrollment ID | O20241029002045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104668912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
| Provider Name | Juadan Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902940331 PECOS PAC ID: 1052464203 Enrollment ID: I20090805000411 |
| Provider Name | Nora L Benavides |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740558444 PECOS PAC ID: 2062771231 Enrollment ID: I20180116000222 |
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