| Clinic Nueva Esperanza | |
|
37-20 76th Street Jackson Heights NY 11372-6502 | |
| (718) 478-1526 | |
| (718) 429-0738 |
| Full Name | Clinic Nueva Esperanza |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 37-20 76th Street, Jackson Heights, New York |
| Authorized Official Name and Position | Sulelka Cabrera-drinane (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2126774181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinic Nueva Esperanza 37-20 76th Street Jackson Heights NY 11372-6502 Ph: (718) 478-1526 | Clinic Nueva Esperanza 37-20 76th Street Jackson Heights NY 11372-6502 Ph: (718) 478-1526 |
| NPI Number | 1093800211 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093800211 | NPI | - | NPPES |
| 424111739 | Other | NY | HEALTHPLUS |
| 01975626 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9138110A & B (New York) | Primary |
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