Gramercy Park Services, LLC

NPI #1114242179 in New York, New York

Provider Information

NPI Number: 1114242179
Entity Type: Organization
Organization Name: Gramercy Park Services, LLC
Primary Specialty: Clinic/Center - Methadone
Enumeration Date: Apr 2, 2010
Last Updated: Apr 2, 2010

Practice Location

Address: 253 3RD AVE
City: New York
State: New York
ZIP Code: 10010-7467
Phone: (212) 475-1900

Authorized Official

Name: DR. LARRY J KROLL, PHD
Title: CEO
Phone: (212) 475-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Methadone — Methadone	261QM2800X	Primary

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