| Federation Of Organizations For The Ny State Mentally Disabled Inc | |
|
105 01 101st Ave Ozone Park NY 11416 | |
| (718) 850-7099 | |
| (718) 850-5361 |
| Full Name | Federation Of Organizations For The Ny State Mentally Disabled Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 105 01 101st Ave, Ozone Park, New York |
| Authorized Official Name and Position | Stephen Mccarthy (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6316695355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Federation Of Organizations For The Ny State Mentally Disabled Inc 1 Farmingdale Road Route 109 West Babylon NY 11704 Ph: (631) 669-5355 | Federation Of Organizations For The Ny State Mentally Disabled Inc 105 01 101st Ave Ozone Park NY 11416 Ph: (718) 850-7099 |
| NPI Number | 1376602003 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 04/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376602003 | NPI | - | NPPES |
| 02716952 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 02716952 (New York) | Primary |
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Universal Medical Care, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9217 101st Ave, Ozone Park, NY 11416 Phone: 718-845-6500 |