Organization
PIBLY RESIDENTIAL PROGRAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADELIN E WEISS LMSW (ASSSOCIATE EXECUTIVE DIRECTOR)
(718) 863-4100
Entity
Organization
Contact information
Practice address
2415 WESTCHESTER AVE, BRONX, NY 10461-3538
(718) 863-4100
(718) 863-5165
Mailing address
2415 WESTCHESTER AVE, BRONX, NY 10461-3538
(718) 863-4100
(718) 863-5165
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
035393
NY
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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