Organization
OSBORNE TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GAYNES (PRESIDENT/CEO)
(718) 707-2600
Entity
Organization
Contact information
Practice address
809 WESTCHESTER AVE, BRONX, NY 10455-1704
(718) 707-2600
(718) 707-3102
Mailing address
809 WESTCHESTER AVE, BRONX, NY 10455-1704
(718) 707-2600
(718) 707-3102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00226388
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02225116
—
NY
Enumeration date
05/16/2007
Last updated
03/26/2015
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