Nyccc | |
7403 Commonwealth Blvd Bellerose NY 11426-1839 | |
(718) 264-4831 | |
(718) 264-4886 |
Full Name | Nyccc |
---|---|
Speciality | Community/behavioral Health |
Location | 7403 Commonwealth Blvd, Bellerose, New York |
Authorized Official Name and Position | Brooke Nichols (SOCIAL WORKER) |
Authorized Official Contact | 7182644831 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nyccc 7403 Commonwealth Blvd Bellerose NY 11426-1839 Ph: (718) 264-4831 | Nyccc 7403 Commonwealth Blvd Bellerose NY 11426-1839 Ph: (718) 264-4831 |
NPI Number | 1225401243 |
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Provider Enumeration Date | 11/13/2015 |
Last Update Date | 11/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225401243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 073322-1 (New York) | Primary |
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