# BRONX ADDICTION SERVICES INTEGRATED CONCEPTS SYSTEM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Basics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568492718
- **Authorized official:** VICKY GATELL (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (718) 960-7629

## Contact information

- **Practice address:** 915 WESTCHESTER AVE, BRONX, NY 10459
- **Practice address phone:** (646) 224-9300
- **Mailing address:** 311 E 175TH ST, BRONX, NY 10457-5859
- **Mailing address phone:** (718) 960-7568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 7000265R | NY | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 09/23/2022