Miracle City, Llc

LBN: Miracle City, Llc
Miracle City, Llc is an health care organization with primary practice located at 2800 Bruckner Blvd Ste 205 , Bronx NY 10465-1972. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Miracle City, Llc can be contacted via phone (914) 222-4156, or through Corson, Andrea via phone (914) 222-4156.

Contact Information

Primary practice address
2800 Bruckner Blvd Ste 205 Bronx NY 10465-1972
Phone: (914) 222-4156
Fax: (320) 205-4576
Website:
Map and Directions
Authorized official contact:
Name: Corson, Andrea LCSW-R
Phone: (914) 222-4156

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X New York

Profile Details

NPI number 1790223394
LBN Legal business name Miracle City, Llc
DBA Doing business as
Authorized official Corson, Andrea LCSW-R
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2017
Last updated Apr 24th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers