person
Johanna Ceballos, LMSW
Federally Qualified Health Center (FQHC) in Bronx, New York
NPI 1467230425

Johanna Ceballos is a Federally Qualified Health Center (FQHC) based in Bronx, NY and is specialized in Federally Qualified Health Center (FQHC). Johanna Ceballos practices in Bronx, NY and has the professional credentials of LMSW. The NPI Number for Johanna Ceballos is 1467230425 and holds a License No. (New York).

The current practice location address for Johanna Ceballos is 85 W Burnside Ave, Bronx, NY and can be reached out via phone at 718-716-4400.

Location: 85 W Burnside Ave, Bronx, NY, 10471-2364
person
Provider Profile Details
NPI Number
1467230425
Provider Name
Johanna Ceballos
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
85 W Burnside Ave, Bronx, NY, 10471-2364
Phone Number
718-716-4400
Fax Number
Provider Enumeration Date
09/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
85 W Burnside Ave
City
State
Zip
10453-4015
Phone Number
718-716-4400
Fax Number
person
Provider Business Mailing Address Details
Address
85 W Burnside Ave
City
State
Zip
10453-4015
Phone Number
718-716-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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