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ELIZABETH FULTON NPI 1013126754

NPI Profile

NPI: 1013126754
Provider Name: ELIZABETH FULTON

Doing Business As: PALLADIA, INC.

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1360 CLINTON AVE
APT. 2-D
BRONX, NY
ZIP 10456
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Phone: (917) 405-8608

ELIZABETH FULTON is a substance abuse rehabilitation facility in Bronx, NY. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ELIZABETH FULTON NPI is 1013126754. The provider is registered as an organization entity type.
The provider Is Doing Business As Palladia, Inc..

The provider's business location address is:

1360 CLINTON AVE
APT. 2-D
BRONX, NY
ZIP 10456-535
Phone: (917) 405-8608
Fax: (718) 299-5905

The provider's authorized official is Elizabeth Fulton .
The authorized official title is Program Manager and has the following contact phone number (718) 299-3300.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility003121NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/3/2020

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