Organization
BRONX LEBANON HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA CAREY (LCSW)
(718) 579-7389
Entity
Organization
Contact information
Practice address
401 E 167TH ST, BRONX, NY 10456-4037
(718) 590-1800
(718) 579-7330
Mailing address
401 EAST 167TH STREET, BRONX, NY 10456
(718) 590-1800
(718) 579-7330
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
088805
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131974191
—
NY
Enumeration date
11/03/2014
Last updated
11/03/2014
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