New York Center of Addiction LLC

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

232661-1 Issued in NY

Legal business name

NEW YORK CENTER OF ADDICTION LLC

Practice address

506 Willis Avenue
7TH Floor
Bronx, NY 10455

Phone

(347) 641-5406

NPI assigned

Dec 20, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yolanda Cruz, MPA

Title

Owner/Ceo

Phone

(917) 529-5806

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1447529474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 EAST 177TH STREET",
            "address_2": "SUITE 6C BRONX COUNTY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10453",
            "telephone_number": "917-529-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 WILLIS AVENUE",
            "address_2": "7TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10455",
            "telephone_number": "347-641-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK CENTER OF ADDICTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "917-529-5806",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "232661-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Psychiatry Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Addiction Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.