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NPI Code Detail

MEDICARE: TRI CENTER

MEDICARE: TRI CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1386198117
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI CENTER
Provider Business Mailing Address
First Line : 2488 GRAND CONCOURSE RM 417
Second Line :
City : BRONX
State : NY
Zip : 10458-5206
Country : US
Telephone Number : 718-584-7204
Fax Number :
Provider Business Practice Location Address
First Line : 2488 GRAND CONCOURSE RM 417
Second Line :
City : BRONX
State : NY
Zip : 10458-5206
Country : US
Telephone Number : 718-584-7204
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : ANETA SKROBACZ
Credential : CASAC
Telephone Number : 718-584-7204
Provider Enumeration Date : 08/10/2016
Last Update Date : 08/10/2016

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Directions to “TRI CENTER ” Practice Location

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