| South Richmond Hill Recovery Llc | |
|
8808 Liberty Ave Ozone Park NY 11417-1329 | |
| (347) 743-1598 | |
| Not Available |
| Full Name | South Richmond Hill Recovery Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8808 Liberty Ave, Ozone Park, New York |
| Authorized Official Name and Position | John Saith (PRINCIPAL) |
| Authorized Official Contact | 3477431598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Richmond Hill Recovery Llc 8768 114th St Richmond Hill NY 11418-2438 Ph: (347) 743-1598 | South Richmond Hill Recovery Llc 8808 Liberty Ave Ozone Park NY 11417-1329 Ph: (347) 743-1598 |
| NPI Number | 1508223934 |
|---|---|
| Provider Enumeration Date | 01/15/2016 |
| Last Update Date | 05/07/2018 |
| Medicare PECOS PAC ID | 4284992439 |
|---|---|
| Medicare Enrollment ID | O20171218002488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508223934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New York) | Primary |
| Provider Name | John Saith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396955811 PECOS PAC ID: 5799825071 Enrollment ID: I20091217000194 |
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