| Lifespire | |
|
18410 Jamaica Ave Hollis NY 11423-2400 | |
| (718) 454-6940 | |
| Not Available |
| Full Name | Lifespire |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18410 Jamaica Ave, Hollis, New York |
| Authorized Official Name and Position | Samantha Kleinman (CLINIC DIRECTOR) |
| Authorized Official Contact | 7184546940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespire 18410 Jamaica Ave Hollis NY 11423-2400 Ph: (718) 454-6940 | Lifespire 18410 Jamaica Ave Hollis NY 11423-2400 Ph: (718) 454-6940 |
| NPI Number | 1932495520 |
|---|---|
| Provider Enumeration Date | 06/22/2011 |
| Last Update Date | 06/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932495520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 079909-1 (New York) | Primary |
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