| Protect The Angels Inc | |
|
10501 34th Ave Corona NY 11368-1109 | |
| (718) 458-1286 | |
| (888) 698-0829 |
| Full Name | Protect The Angels Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10501 34th Ave, Corona, New York |
| Authorized Official Name and Position | Carmen J Jimenez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7184581286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Protect The Angels Inc 10501 34th Ave Corona NY 11368-1109 Ph: (718) 458-1286 | Protect The Angels Inc 10501 34th Ave Corona NY 11368-1109 Ph: (718) 458-1286 |
| NPI Number | 1114599875 |
|---|---|
| Provider Enumeration Date | 07/13/2021 |
| Last Update Date | 11/18/2022 |
| Certification Date | 11/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114599875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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