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1016 162nd St Whitestone NY 11357-2124 | |
| (718) 746-6647 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1016 162nd St, Whitestone, New York |
| Authorized Official Name and Position | Nahid Akter (BILLING DIRECTOR) |
| Authorized Official Contact | 7187466647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1016 162nd St Whitestone NY 11357-2124 Ph: () - | 1016 162nd St Whitestone NY 11357-2124 Ph: (718) 746-6647 |
| NPI Number | 1083073308 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 02/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083073308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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