| Narco Freedom Inc | |
|
250 Grand Concourse Bronx NY 10451-5430 | |
| (718) 292-2240 | |
| (718) 292-3030 |
| Full Name | Narco Freedom Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 250 Grand Concourse, Bronx, New York |
| Authorized Official Name and Position | Alan Brand (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7182922240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Narco Freedom Inc 250 Grand Concourse Bronx NY 10451-5430 Ph: (718) 292-2240 | Narco Freedom Inc 250 Grand Concourse Bronx NY 10451-5430 Ph: (718) 292-2240 |
| NPI Number | 1174562003 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174562003 | NPI | - | NPPES |
| 00245107 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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