| Lexington Center For Mental Health Services, Inc. | |
|
2626 75th St East Elmhurst NY 11370-1427 | |
| (718) 350-3143 | |
| (718) 350-3072 |
| Full Name | Lexington Center For Mental Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2626 75th St, East Elmhurst, New York |
| Authorized Official Name and Position | Adele I Agin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7183503110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexington Center For Mental Health Services, Inc. 2626 75th St East Elmhurst NY 11370-1427 Ph: (718) 350-3143 | Lexington Center For Mental Health Services, Inc. 2626 75th St East Elmhurst NY 11370-1427 Ph: (718) 350-3143 |
| NPI Number | 1659351021 |
|---|---|
| Provider Enumeration Date | 01/20/2006 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Medicare PECOS PAC ID | 4183658792 |
|---|---|
| Medicare Enrollment ID | O20050922001204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659351021 | NPI | - | NPPES |
| Provider Name | Adele I Agin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871644880 PECOS PAC ID: 8022147230 Enrollment ID: I20130701000278 |
| Provider Name | Navin Dargani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447544093 PECOS PAC ID: 1153609474 Enrollment ID: I20161020001494 |
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