| Jrc Evaluations & Services Llc | |
|
221-17 91 Road Queens Village NY 11428 | |
| (516) 965-1009 | |
| Not Available |
| Full Name | Jrc Evaluations & Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 221-17 91 Road, Queens Village, New York |
| Authorized Official Name and Position | Jackie Chessen (SECRETARY OF STATE) |
| Authorized Official Contact | 5169651009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jrc Evaluations & Services Llc 221-17 91 Road Queens Village NY 11428 Ph: (516) 965-1009 | Jrc Evaluations & Services Llc 221-17 91 Road Queens Village NY 11428 Ph: (516) 965-1009 |
| NPI Number | 1093258394 |
|---|---|
| Provider Enumeration Date | 11/18/2016 |
| Last Update Date | 11/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093258394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 081431 (New York) | Primary |
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