institution
Concourse Medical Center Inc
Methadone Clinic in Bronx, New York
NPI 1073722286

Concourse Medical Center Inc is a Methadone Clinic based in Bronx, NY and is specialized in Methadone. Concourse Medical Center Inc practices in Bronx, NY. The NPI Number for Concourse Medical Center Inc is 1073722286 and holds a License No. 090111295 (New York).

The current practice location address for Concourse Medical Center Inc is 880 Morris Ave, Bronx, NY and can be reached out via phone at 718-665-9340.

Location: 880 Morris Ave, Bronx, NY, 10451-3412
institution
Provider Profile Details
NPI Number
1073722286
Provider Name
Concourse Medical Center Inc
Credential
Provider Entity Type
Organization
Address
880 Morris Ave, Bronx, NY, 10451-3412
Phone Number
718-665-9340
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02243034 05 NY
A300233658 01 NY MEDICARE
A400073294 01 NY MEDICARE
institution
Provider Business Practice Location Address Details
Address
880 Morris Ave
City
State
Zip
10451-3412
Phone Number
718-665-9340
Fax Number
person
Provider Business Mailing Address Details
Address
880 Morris Ave
City
State
Zip
10451-3412
Phone Number
718-665-9340
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
090111295 (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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