Hazelden New York

NPI 1053605923 - Clinic/Center - 261QR0405X

NPI Details
NPI 1053605923
Enumeration Date 06/08/2011
Last Updated 06/08/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BARBARA BARBARA
Position EXECUTIVE DIRECTOR HAZELDEN NY
Phone (212) 420-9520
Fax
Practice Location
283 W BROADWAY
NEW YORK NY, 10013-2204, US
Phone (212) 420-9520
Fax
Business Location
283 W BROADWAY
NEW YORK NY, 10013-2204, US
Phone (212) 420-9520
Fax
Toxanomy
Taxonomy Code 261QR0405X
License State New York
License Number 070411517
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According to our database, Hazelden New York NPI is 1053605923, taxonomy code is 261QR0405X and license number is 070411517, license state is located at New York. Hazelden New York physically located at 283 W Broadway, New York NY, 10013-2204. NPI Number 1033115704 has the healthcare provider type.

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1053605923 NPI number is provided on an as is basis without warranty of any kind. 1053605923 is maintained by the National Plan & Provider Enumeration System. The contents of Hazelden New York are for informational purposes only.