| Latino Support Lcsw, P.c | |
|
4322 50 Street Suite 2c Woodside NY 11377 | |
| (718) 505-1531 | |
| (347) 808-9871 |
| Full Name | Latino Support Lcsw, P.c |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4322 50 Street, Woodside, New York |
| Authorized Official Name and Position | Maria T. Schreiber (OWNER/CEO) |
| Authorized Official Contact | 7185051531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latino Support Lcsw, P.c P.o. Box 630333 Little Neck NY 11363 Ph: (718) 505-1531 | Latino Support Lcsw, P.c 4322 50 Street Suite 2c Woodside NY 11377 Ph: (718) 505-1531 |
| NPI Number | 1083967970 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 05/04/2021 |
| Certification Date | 05/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083967970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 079970 (New York) | Primary |
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