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KAMEHAMEHA HEALTH AND WELLNESS NONPROFIT CORPORATION NPI 1326432238


NPI Information

NPI: 1326432238
Provider Name: KAMEHAMEHA HEALTH AND WELLNESS NONPROFIT CORPORATION
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Organization

Specialization: Addiction Psychiatry

Address:
3250 WESCHESTER AVENUE
SUITE LL4
BRONX, NY
ZIP 10461
Phone: (718) 684-6465
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KAMEHAMEHA HEALTH AND WELLNESS NONPROFIT CORPORATION is an addiction psychiatry psychiatry neurology in Bronx, NY. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. KAMEHAMEHA HEALTH AND WELLNESS NONPROFIT CORPORATION NPI is 1326432238. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3250 WESCHESTER AVENUE
SUITE LL4
BRONX, NY
ZIP 10461-548
Phone: (718) 684-6465
Fax: (718) 684-6467

The provider's authorized official is Purificacion Cristobal .
The authorized official title is Managing Agent and has the following contact phone number (718) 684-6465.

The enumeration date for this NPI number is 3/28/2015 and was last updated on 10/11/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0802XPsychiatry & NeurologyAddiction PsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105459852MEDICAIDNEW YORK

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: 4/28/2024

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