Most Relevant Information
Provider Data
| NPI Number: | 1003478017 |
| Provider Name: | ILEANA DRIGGS MHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/01/2019 |
| Last Updated: | 07/01/2019 |
Provider Practice Location
1560 MAYFLOWER AVE
BRONX
NY
104615400
Practice Location Phone/Fax
| Phone: | 7189481900 |
| Fax: |
Provider Mailing Location
3 MONROE AVE
DUMONT
NJ
076282714
Provider Mailing Phone/Fax
| Phone: | 2017235402 |
| Fax: |