| Neighborhood Change Youth Organization | |
|
88 Seneca St Staten Island NY 10310-2334 | |
| (646) 600-1843 | |
| Not Available |
| Full Name | Neighborhood Change Youth Organization |
|---|---|
| Speciality | Social Worker |
| Location | 88 Seneca St, Staten Island, New York |
| Authorized Official Name and Position | Takisha Collins (DIRECTOR) |
| Authorized Official Contact | 6466001843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Change Youth Organization 88 Seneca St Staten Island NY 10310-2334 Ph: (646) 600-1843 | Neighborhood Change Youth Organization 88 Seneca St Staten Island NY 10310-2334 Ph: (646) 600-1843 |
| NPI Number | 1346787512 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 01/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346787512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (New York) | Primary |
| 251V00000X | Voluntary Or Charitable | (New York) | Secondary |
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