| The Child Center Of Ny, Inc | |
|
1414 29th Ave Ps 171 Astoria NY 11102-3643 | |
| (718) 932-0909 | |
| Not Available |
| Full Name | The Child Center Of Ny, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1414 29th Ave, Astoria, New York |
| Authorized Official Name and Position | Jean M Coppola (DIRECTOR OF BILLING) |
| Authorized Official Contact | 7186517770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Child Center Of Ny, Inc 6002 Queens Blvd Woodside NY 11377-4973 Ph: (718) 651-7770 | The Child Center Of Ny, Inc 1414 29th Ave Ps 171 Astoria NY 11102-3643 Ph: (718) 932-0909 |
| NPI Number | 1174935514 |
|---|---|
| Provider Enumeration Date | 05/20/2014 |
| Last Update Date | 05/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174935514 | NPI | - | NPPES |
| 00244371 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6734151F (New York) | Primary |
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