National Provider Identifier
Vertex South LLC
Vertex South LLC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Elizabeth Cty, NC and a listed phone number of (718) 653-1117.
Source: public NPPES record, last updated April 15, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1780265447
- Provider Type
- Organization
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- April 15, 2021
- Last Updated
- April 15, 2021
Practice Location
- 2409 Dan And Mary St
- Elizabeth Cty, NC 27909-9085
Phone: (718) 653-1117
Mailing Address
- 1080 E Gun Hill RD
- Bronx, NY 10469-3742
Authorized Official
- Name
- MS. Zoya Gornopolsky
- Title
- President
- Phone
- (718) 653-1117
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Mental Health Counselor (101YM0800X)
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Full Record
- NPI
- 1780265447
- Entity Type
- Organization
- Organization Name
- Vertex South LLC
- Mailing Street Address
- 1080 E Gun Hill RD
- Mailing City
- Bronx
- Mailing State
- NY
- Mailing ZIP Code
- 10469-3742
- Mailing Country
- US
- Mailing Phone
- (718) 653-1117
- Practice Street Address
- 2409 Dan And Mary St
- Practice City
- Elizabeth Cty
- Practice State
- NC
- Practice ZIP Code
- 27909-9085
- Practice Country
- US
- Practice Phone
- (718) 653-1117
- Enumeration Date
- April 15, 2021
- Last Updated
- April 15, 2021
- Authorized Official Last Name
- Gornopolsky
- Authorized Official First Name
- Zoya
- Authorized Official Title
- President
- Authorized Official Phone
- (718) 653-1117
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- MS.
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Taxonomy Group 2
- 193200000X Multi-Specialty Group
- Certification Date
- April 15, 2021
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X), Mental Health Counselor (101YM0800X)