Organization
NEW YORK CENTER OF ADDICTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA CRUZ MPA (OWNER/CEO)
(917) 529-5806
Entity
Organization
Contact information
Practice address
506 WILLIS AVENUE, 7TH FLOOR, BRONX, NY 10455
(347) 641-5406
Mailing address
124 EAST 177TH STREET, SUITE 6C BRONX COUNTY, BRONX, NY 10453
(917) 529-5806
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
232661-1
NY
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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