Organization
BRONX ADDICTION SERVICES INTEGRATED CONCEPTS SYSTEM INC
Active
Other names
Basics
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY GATELL (CHIEF FINANCIAL OFFICER)
(718) 960-7629
Entity
Organization
Contact information
Practice address
915 WESTCHESTER AVE, BRONX, NY 10459
(646) 224-9300
Mailing address
311 E 175TH ST, BRONX, NY 10457-5859
(718) 960-7568
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
7000265R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02478953
—
NY
Enumeration date
07/04/2006
Last updated
09/23/2022
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