Healthcare Provider Details

I. General information

NPI: 1003798794
Provider Name (Legal Business Name): VERTEX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 E GUN HILL RD
BRONX NY
10469-3742
US

IV. Provider business mailing address

1080 E GUN HILL RD FL 2
BRONX NY
10469-3742
US

V. Phone/Fax

Practice location:
  • Phone: 718-653-1112
  • Fax:
Mailing address:
  • Phone: 718-653-1112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ZOYA GORNOPOLSKY
Title or Position: PRESIDENT
Credential:
Phone: 718-653-1112