OrganizationActive
Albert Enistein College of Medicine
NPI 1659797280 · Substance Use Disorder Rehabilitation Clinic/Center · Bronx, NY
Provider details
- NPI number
- 1659797280
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Latasha Green, RN(718) 994-4901
- License
- 952550787 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1510 Waters Pl
Bronx, NY 10461-2700
Phone: (347) 493-8503
Approximate (ZIP-level) locationGet directions
Mailing address
3704 Secor Ave
Bronx, NY 10466-5917
Registry dates
- Enumerated
- 2014-03-06
- Last updated
- 2014-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.