Organization
ACDP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YABERCI PEREZ-CUBILLAN LCSWR (CLINIC DIRECTOR)
(212) 781-5500
Entity
Organization
Contact information
Practice address
2841 E 194TH ST, BRONX, NY 10461-3910
(347) 461-2425
Mailing address
2841 EAST 194 STREET, BRONX, NY 10461
(347) 461-2425
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
086486-1
NY
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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