Healthcare Provider Details

I. General information

NPI: 1508126616
Provider Name (Legal Business Name): NORTHEAST BRONX DAY CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2012
Last Update Date: 05/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4102 WHITE PLAINS RD
BRONX NY
10466-3008
US

IV. Provider business mailing address

4102 WHITE PLAINS RD
BRONX NY
10466-3008
US

V. Phone/Fax

Practice location:
  • Phone: 718-547-1245
  • Fax: 718-547-6302
Mailing address:
  • Phone: 718-547-1245
  • Fax: 718-547-6302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MRS. JOYCE L. JAMES
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 718-547-1245