| Edith | |
|
2123 41st St 1st Floor Astoria NY 11105-1708 | |
| (718) 755-5328 | |
| Not Available |
| Full Name | Edith |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2123 41st St, Astoria, New York |
| Authorized Official Name and Position | Edith Laufer (SUPERVISOR) |
| Authorized Official Contact | 2122880036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edith 2123 41st St 1st Floor Astoria NY 11105-1708 Ph: (718) 755-5328 | Edith 2123 41st St 1st Floor Astoria NY 11105-1708 Ph: (718) 755-5328 |
| NPI Number | 1376916635 |
|---|---|
| Provider Enumeration Date | 11/09/2015 |
| Last Update Date | 11/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376916635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 692510 (New York) | Primary |
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