Organization
ALLIANCE SERVICES FOR TBI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PAUL (PRESIDENT)
(718) 501-2637
Entity
Organization
Contact information
Practice address
24707 JERICHO TPKE, SUITE A3, BELLEROSE, NY 11426-1531
(866) 915-7837
(888) 894-0540
Mailing address
24707 JERICHO TPKE, SUITE A3, BELLEROSE, NY 11426-1531
(866) 915-7837
(888) 894-0540
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03053252
—
NY
Enumeration date
11/01/2016
Last updated
11/01/2016
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