Organization
MORRISANIA DIAGNOSTIC AND TREAMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA AZON (SOCIAL WORKER LEVEL 1)
(718) 960-2964
Entity
Organization
Contact information
Practice address
1225 GERARD AVE, BRONX, NY 10452-8001
(718) 960-2694
Mailing address
1225 GERARD AVE, BRONX, NY 10452-8001
(718) 960-2694
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
097711
NY
251S00000X
Community/Behavioral Health Agency
Primary
097711
NY
Other
Enumeration date
09/24/2016
Last updated
09/24/2016
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