Counseling Service Edny | |
16318 Jamaica Ave Counseling Service Of Edny Jamaica NY 11432-4901 | |
(718) 658-0010 | |
(718) 658-2962 |
Full Name | Counseling Service Edny |
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Speciality | Community/behavioral Health |
Location | 16318 Jamaica Ave, Jamaica, New York |
Authorized Official Name and Position | Kevin Costin (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7182504833 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Counseling Service Edny 16318 Jamaica Ave Counseling Service Of Edny Jamaica NY 11432-4901 Ph: (718) 658-0010 | Counseling Service Edny 16318 Jamaica Ave Counseling Service Of Edny Jamaica NY 11432-4901 Ph: (718) 658-0010 |
NPI Number | 1619104239 |
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Provider Enumeration Date | 06/22/2009 |
Last Update Date | 06/23/2009 |
Identifier | Type | State | Issuer |
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1619104239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 72079127 (New York) | Primary |
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