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Contact Information

POISED ONDEMAND-PROMOTING OPULENCE IN SOCIAL EMOTIONAL DEVELOPMENT LIM
649 BRONX RIVER ROAD
3R
YONKERS, NY10704
 Phone: 914-885-5093
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prevention Professional

405300000X
 

Health & Wellness Coach

171400000X
Indicates primary specialty

NPI Profile & details for POISED ONDEMAND-PROMOTING OPULENCE IN SOCIAL EMOTIONAL DEVELOPMENT LIM

NPI # 1750057477
LBN Legal business name POISED ONDEMAND-PROMOTING OPULENCE IN SOCIAL EMOTIONAL DEVELOPMENT LIM
Authorized official RAQUEL JOHNSON - (CHIEF EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2021
Last updated 08/28/2024 - More than a year ago
Identifiers
NY Medicaid 06368170
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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