Organization
ACHIEVE BEYOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARITA PREZ PROVIDER (TEACHER)
(914) 310-3372
Entity
Organization
Contact information
Practice address
1394 PROSPECT AVE APT 1FL, BRONX, NY 10459-1405
(914) 310-3372
Mailing address
1394 PROSPECT AVE APT 1FL, BRONX, NY 10459-1405
(914) 310-3372
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
694857122
NY
Other
Enumeration date
08/21/2016
Last updated
08/21/2016
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