MEDICARE: LEXINGTON CENTER FOR RECOVERY

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
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	038229-1	NY

General Provider Information

NPI Number	:	1679792238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEXINGTON CENTER FOR RECOVERY

Provider Business Mailing Address
First Line	:	420 NORTH AVE
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10801-4160
Country	:	US
Telephone Number	:	914-235-6633
Fax Number	:	914-666-3319

Provider Business Practice Location Address
First Line	:	420 NORTH AVE
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10801-4160
Country	:	US
Telephone Number	:	914-235-6633
Fax Number	:	914-666-3319

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. ADRIENNE MARCUS I
Credential	:	PHD
Telephone Number	:	914-666-0191

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	08/22/2020

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Directions to “LEXINGTON CENTER FOR RECOVERY ” Practice Location

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