| Jamaica Clinic | |
|
8956 162nd St 2nd Floor Jamaica NY 11432-5072 | |
| (718) 657-7100 | |
| (718) 657-7137 |
| Full Name | Jamaica Clinic |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 8956 162nd St, Jamaica, New York |
| Authorized Official Name and Position | Jean M Coppola (DIRECTOR OF BILLING) |
| Authorized Official Contact | 7186517770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamaica Clinic 6002 Queens Blvd Lower Level Woodside NY 11377-4973 Ph: (718) 651-7770 | Jamaica Clinic 8956 162nd St 2nd Floor Jamaica NY 11432-5072 Ph: (718) 657-7100 |
| NPI Number | 1346399540 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 12/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346399540 | NPI | - | NPPES |
| WV0071 | Other | NY | BLUE CROSS BLUE SHIELD |
| 7403085 | Other | NY | GHI |
| 00244371 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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