| Spectrum Clinical Services And Consulting Llc | |
|
159-13 Horace Harding Expressway Fresh Meadows NY 11365 | |
| (917) 751-5952 | |
| (718) 460-5488 |
| Full Name | Spectrum Clinical Services And Consulting Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 159-13 Horace Harding Expressway, Fresh Meadows, New York |
| Authorized Official Name and Position | Nancy Anne Sullivan (PRESIDENT) |
| Authorized Official Contact | 9177515952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Clinical Services And Consulting Llc 159-13 Horace Harding Expressway Fresh Meadows NY 11365 Ph: (917) 751-5952 | Spectrum Clinical Services And Consulting Llc 159-13 Horace Harding Expressway Fresh Meadows NY 11365 Ph: (917) 751-5952 |
| NPI Number | 1285076414 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 07/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285076414 | NPI | - | NPPES |
| 00244019 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 075477 (New York) | Primary |
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