Johanna Ceballos, LMSW

NPI #1467230425 in Bronx, New York

Provider Information

NPI Number: 1467230425
Entity Type: Individual
Name: Johanna Ceballos, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Credential: LMSW
Enumeration Date: Sep 20, 2023
Last Updated: Sep 25, 2023

Practice Location

Address: 85 W BURNSIDE AVE
City: Bronx
State: New York
ZIP Code: 10453-4015
Phone: (718) 716-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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