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Contact Information

BANG AWARENESS ALCOHOL PREVENTION
1075 UNIVERSITY AVE
STADIUM STATION 524525
BRONX, NY10452
 Phone: 347-220-7578
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Community Health

261QC1500X
Indicates primary specialty

NPI Profile & details for BANG AWARENESS ALCOHOL PREVENTION · (Female)

NPI Number 1770529026
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 5292
  • NY License # I069
  • NM Medicaid 02799640
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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