Tiffany Bell

Individual provider Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Hawthorne, NY

NPI 1619251865 · NPPES record last updated Oct 6, 2011

Key facts

NPI
1619251865
Entity type
Individual (NPI type 1)
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
Practice address
228 Linda Ave
Hawthorne, NY 10532-2050
Phone
(914) 773-6716
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NY Yes

Addresses

Primary practice location

228 Linda Ave
Hawthorne, NY 10532-2050

Mailing address

311 N High St
Mount Vernon, NY 10550-1012
Phone (914) 668-2030

Other providers in Hawthorne, NY

All providers in Hawthorne, NY · Emotionally Disturbed Childrens' Residential Treatment Facility in New York

Sources for this page

Verify at the official NPI Registry.