Organization
CHAMPIONS FOR NEW YORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAAZANIAH ASAHGUII (PRESIDENT)
(646) 942-3923
Entity
Organization
Contact information
Practice address
2039 BLACKROCK AVE APT 2C, BRONX, NY 10472-6130
(646) 942-3923
Mailing address
2039 BLACKROCK AVE APT 2C, BRONX, NY 10472-6130
(646) 942-3923
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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