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Organization
INDEPENDENT BRONX CONSULTATION CENTER, INC.
Active
Organization
INDEPENDENT BRONX CONSULTATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNICE BAUMAN PHD (EXECUTIVE DIRECTOR)
(718) 918-1700
Entity
Organization
Contact information
Practice address
782 PELHAM PKWY S, BRONX, NY 10462-1142
(718) 918-1700
(718) 829-9640
Mailing address
782 PELHAM PKWY S, BRONX, NY 10462-1142
(718) 918-1700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6702100A
NY
Other
Enumeration date
12/20/2006
Last updated
04/28/2008
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