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Organization

MARTIN LUTHER KING ADDICTIVE DISEASE SERVICES

Active
Parent organization
BRONX LEBANON HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRONX LEBANON HOSPITAL
Authorized official
DR. KAMALA GREENE (DIRECTOR)
(717) 518-3700
Entity
Organization

Contact information

Practice address
321 E TREMONT AVE, BRONX, NY 10457-5304
(718) 518-3700
(718) 294-6999
Mailing address
321 E TREMONT AVE, BRONX, NY 10457-5304
(718) 518-3700
(718) 294-6999

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary

Other

Enumeration date
01/30/2009
Last updated
01/30/2009
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