| Mc Queen And Otuyelu Lcsw Wellness | |
|
941 Forest Avenue Staten Island NY 10310 | |
| (347) 410-2770 | |
| (718) 273-4017 |
| Full Name | Mc Queen And Otuyelu Lcsw Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 941 Forest Avenue, Staten Island, New York |
| Authorized Official Name and Position | Fonusho O Otuyelu (CO-PARTNER) |
| Authorized Official Contact | 3474102770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mc Queen And Otuyelu Lcsw Wellness 39 Lockman Avenue Staten Island NY 10303 Ph: (347) 410-2770 | Mc Queen And Otuyelu Lcsw Wellness 941 Forest Avenue Staten Island NY 10310 Ph: (347) 410-2770 |
| NPI Number | 1427602846 |
|---|---|
| Provider Enumeration Date | 07/25/2019 |
| Last Update Date | 07/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427602846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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