| Edwards Mentoring | |
|
19005 122nd Ave Suite A Springfield Gardens NY 11413-1010 | |
| (646) 824-5737 | |
| Not Available |
| Full Name | Edwards Mentoring |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 19005 122nd Ave, Springfield Gardens, New York |
| Authorized Official Name and Position | Larry D Edwards (FOUNDER / DIRECTOR) |
| Authorized Official Contact | 6468245737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwards Mentoring 19005 122nd Ave Suite A Springfield Gardens NY 11413-1010 Ph: (646) 824-5737 | Edwards Mentoring 19005 122nd Ave Suite A Springfield Gardens NY 11413-1010 Ph: (646) 824-5737 |
| NPI Number | 1366986812 |
|---|---|
| Provider Enumeration Date | 12/16/2016 |
| Last Update Date | 12/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366986812 | NPI | - | NPPES |
| 1699170365 | Medicaid | NY |
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