| Full Name | |
|---|---|
| Speciality | Rehabilitation, Substance Use Disorder Unit |
| Location | 260 E 161st St, Bronx, New York |
| Authorized Official Name and Position | Michael G Dowling (DIR. OF PROV SERVICES & NTWK CNTRCT) |
| Authorized Official Contact | 9143774668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
260 E 161st St Bronx NY 10451-3512 Ph: () - | 260 E 161st St Bronx NY 10451-3512 Ph: (718) 920-4321 |
| NPI Number | 1003142571 |
|---|---|
| Provider Enumeration Date | 10/19/2009 |
| Last Update Date | 12/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003142571 | NPI | - | NPPES |
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