| New York Trauma Care | |
|
14752 69th Rd Flushing NY 11367-1732 | |
| (718) 575-0308 | |
| Not Available |
| Full Name | New York Trauma Care |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 14752 69th Rd, Flushing, New York |
| Authorized Official Name and Position | Jacob M Adler (CEO) |
| Authorized Official Contact | 5162393303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Trauma Care 14752 69th Rd Flushing NY 11367-1732 Ph: (718) 575-0308 | New York Trauma Care 14752 69th Rd Flushing NY 11367-1732 Ph: (718) 575-0308 |
| NPI Number | 1679946404 |
|---|---|
| Provider Enumeration Date | 11/02/2015 |
| Last Update Date | 11/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679946404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | R0296771 (New York) | Primary |
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