| The Center At Western Queens | |
|
7410 35th Ave Suite 107 W Jackson Heights NY 11372-8197 | |
| (718) 672-1538 | |
| (718) 429-0713 |
| Full Name | The Center At Western Queens |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7410 35th Ave, Jackson Heights, New York |
| Authorized Official Name and Position | Patricio Destuet (OWNER) |
| Authorized Official Contact | 7186721538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center At Western Queens 7410 35th Ave Suite 107 W Jackson Heights NY 11372-8197 Ph: (718) 672-1538 | The Center At Western Queens 7410 35th Ave Suite 107 W Jackson Heights NY 11372-8197 Ph: (718) 672-1538 |
| NPI Number | 1265767982 |
|---|---|
| Provider Enumeration Date | 10/14/2009 |
| Last Update Date | 10/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265767982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1402 (New York) | Primary |
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