Organization
CHILDREN'S EVALUATION AND REHABILITATION CENTER - DFSU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ANNMARIE OLIVER LMSW (CLINICAL SOCIAL WORKER)
(718) 430-3970
Entity
Organization
Contact information
Practice address
1165 MORRIS PARK AVE, 4TH FLOOR, BRONX, NY 10461-1915
(718) 430-3970
(718) 823-4877
Mailing address
1165 MORRIS PARK AVE, 4TH FLOOR, BRONX, NY 10461-1915
(718) 430-3970
(718) 823-4877
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
067708-1
NY
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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