BANG AWARENESS ALCOHOL PREVENTION NPI 1770529026

NPI Information

BANG AWARENESS ALCOHOL PREVENTION is a licensed practical nurse in Bronx, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. BANG AWARENESS ALCOHOL PREVENTION NPI is 1770529026. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Mcconneghey Bang & Corp Inc.

The provider's business location address is:

1075 UNIVERSITY AVE
STADIUM STATION 524525
BRONX, NY
ZIP 10452
Phone: (347) 220-7578

The provider's authorized official is Maritza Mcconneghey .
The authorized official title is Chief Exec Officer and has the following contact phone number (917) 239-5729.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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