| Queens Long Island Community Services | |
|
4343 Bowne St Flushing NY 11355-3039 | |
| (718) 461-6393 | |
| (718) 463-8937 |
| Full Name | Queens Long Island Community Services |
|---|---|
| Speciality | Social Worker |
| Location | 4343 Bowne St, Flushing, New York |
| Authorized Official Name and Position | Paul Matthew Engel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5165474318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Long Island Community Services 4343 Bowne St Flushing NY 11355-3039 Ph: (718) 461-6393 | Queens Long Island Community Services 4343 Bowne St Flushing NY 11355-3039 Ph: (718) 461-6393 |
| NPI Number | 1528587557 |
|---|---|
| Provider Enumeration Date | 09/11/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3375892268 |
|---|---|
| Medicare Enrollment ID | O20180827001990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528587557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Paul M Engel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902962061 PECOS PAC ID: 5395725204 Enrollment ID: I20040726000871 |
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