| Kew Hills Clinic | |
|
7150 Parsons Blvd Flushing NY 11365-4131 | |
| (718) 591-6750 | |
| (718) 591-4397 |
| Full Name | Kew Hills Clinic |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 7150 Parsons Blvd, Flushing, New York |
| Authorized Official Name and Position | Jean M Coppola (BILLING MANAGER) |
| Authorized Official Contact | 7186517770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kew Hills Clinic 6002 Queens Blvd Lower Level Woodside NY 11377-4973 Ph: (718) 651-7770 | Kew Hills Clinic 7150 Parsons Blvd Flushing NY 11365-4131 Ph: (718) 591-6750 |
| NPI Number | 1104975200 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 07/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104975200 | NPI | - | NPPES |
| 00244371 | Medicaid | NY | |
| 7403085 | Other | NY | GHI |
| WV0071 | Other | NY | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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