| Serenity 6 Inc | |
|
17516 109th Ave Jamaica NY 11433-2602 | |
| (718) 523-9229 | |
| Not Available |
| Full Name | Serenity 6 Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 17516 109th Ave, Jamaica, New York |
| Authorized Official Name and Position | Deborah Patricia Roberson (CLINICIAL SOCIAL WORKER) |
| Authorized Official Contact | 7185239229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity 6 Inc 17516 109th Ave Jamaica NY 11433-2602 Ph: (718) 523-9229 | Serenity 6 Inc 17516 109th Ave Jamaica NY 11433-2602 Ph: (718) 523-9229 |
| NPI Number | 1427149640 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427149640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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