| Steve | |
|
11714 Queens Blvd 2nd Fl Forest Hills NY 11375-7052 | |
| (347) 277-4835 | |
| Not Available |
| Full Name | Steve |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11714 Queens Blvd, Forest Hills, New York |
| Authorized Official Name and Position | Steve Vasco (CEO) |
| Authorized Official Contact | 3472774835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steve 11714 Queens Blvd 2nd Fl Forest Hills NY 11375-7052 Ph: () - | Steve 11714 Queens Blvd 2nd Fl Forest Hills NY 11375-7052 Ph: (347) 277-4835 |
| NPI Number | 1912250465 |
|---|---|
| Provider Enumeration Date | 10/22/2012 |
| Last Update Date | 10/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912250465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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