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14427 175th St Jamaica NY 11434-4813 | |
| (917) 754-8513 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14427 175th St, Jamaica, New York |
| Authorized Official Name and Position | Louise Pyant (DIRECTOR) |
| Authorized Official Contact | 9177548513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11714 145th St Jamaica NY 11436-1315 Ph: (917) 754-8513 | 14427 175th St Jamaica NY 11434-4813 Ph: (917) 754-8513 |
| NPI Number | 1265746499 |
|---|---|
| Provider Enumeration Date | 07/29/2010 |
| Last Update Date | 07/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265746499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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