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Organization

MORRISANIA D&TC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MERCEDES ESCOTO CW (CASE WORKER)
(718) 960-2915
Entity
Organization

Contact information

Practice address
1225 GERARD AVE, BRONX, NY 10452-8001
(718) 960-2915
Mailing address
1225 GERARD AVE, BRONX, NY 10452-8001

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
04/06/2011
Last updated
04/06/2011
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