Organization
PALLADIA INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA ABALOLA RN (STAFF NURSE)
(646) 401-9700
Entity
Organization
Contact information
Practice address
1366 INWOOD AVE, BRONX, NY 10452-3203
(646) 401-9700
(646) 401-9701
Mailing address
1366 INWOOD AVE, BRONX, NY 10452-3203
(646) 401-9700
(646) 401-9701
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
23709380
NY
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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