Organization
FEGS BRONX MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS WEINER (CREDENTIALING SPECIALIST)
(212) 366-8007
Entity
Organization
Contact information
Practice address
3600 JEROME AVE, BRONX, NY 10467-1052
(718) 881-7600
(718) 515-8057
Mailing address
3965 SEDGWICK AVE, APT 3A, BRONX, NY 10463-3104
(718) 881-7600
(718) 515-8057
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R048688
NY
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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