Organization
POSTGRADUATE CENTER FOR MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA NICOLE SAM L.M.S.W. (FEE FOR SERVICE THERAPIST)
(212) 665-1860
Entity
Organization
Contact information
Practice address
3525 HULL AVE, BRONX, NY 10467-1604
(718) 942-6200
(718) 652-4324
Mailing address
3525 HULL AVE, BRONX, NY 10467-1604
(718) 942-6200
(718) 652-4324
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
084660
NY
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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