Individual provider · Type 1 NPI
Johanna Ceballos, LMSW
Federally Qualified Health Center (FQHC) · Bronx, NY
NPI number
1467230425
Active
Practice location
85 W Burnside Ave
Bronx, NY 10453-4015
Mailing address
5530 Netherland Ave Apt 1C
Bronx, NY 10471-2364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1467230425
Johanna Ceballos, LMSW's National Provider Identifier is 1467230425, issued on Sep 20, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bronx, NY. The record was last updated on Sep 25, 2023.