Community Health Action Of Staten Island, Inc. | |
56 Bay St Staten Island NY 10301-2563 | |
(718) 808-1300 | |
(718) 808-1393 |
Full Name | Community Health Action Of Staten Island, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 56 Bay St, Staten Island, New York |
Authorized Official Name and Position | Jennifer Lytton (SNR. VP/CHIEF FISCAL OFFICER) |
Authorized Official Contact | 7188081422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Community Health Action Of Staten Island, Inc. 56 Bay St Staten Island NY 10301-2563 Ph: (718) 808-1300 | Community Health Action Of Staten Island, Inc. 56 Bay St Staten Island NY 10301-2563 Ph: (718) 808-1300 |
NPI Number | 1871793356 |
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Provider Enumeration Date | 07/23/2007 |
Last Update Date | 04/08/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871793356 | NPI | - | NPPES |
02521240 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 080311454 (New York) | Secondary |
251S00000X | Community/behavioral Health | (New York) | Primary |
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