| The Fortune Society | |
|
2976 Northern Blvd Long Island City NY 11101-2822 | |
| (212) 691-7554 | |
| (718) 906-9491 |
| Full Name | The Fortune Society |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2976 Northern Blvd, Long Island City, New York |
| Authorized Official Name and Position | Veronica Belisa Hernandez (SOCIAL WORKER) |
| Authorized Official Contact | 9295109652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Fortune Society 2976 Northern Blvd Long Island City NY 11101-2822 Ph: (212) 691-7554 | The Fortune Society 2976 Northern Blvd Long Island City NY 11101-2822 Ph: (212) 691-7554 |
| NPI Number | 1952079089 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 09/02/2021 |
| Certification Date | 08/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952079089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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