| The Mary Louis Academy | |
|
17621 Wexford Ter Jamaica NY 11432-2926 | |
| (718) 297-2120 | |
| Not Available |
| Full Name | The Mary Louis Academy |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 17621 Wexford Ter, Jamaica, New York |
| Authorized Official Name and Position | Christina Bommarito (SCHOOL PSYCHOLOGIST) |
| Authorized Official Contact | 7182972120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mary Louis Academy 17621 Wexford Ter Jamaica NY 11432-2926 Ph: () - | The Mary Louis Academy 17621 Wexford Ter Jamaica NY 11432-2926 Ph: (718) 297-2120 |
| NPI Number | 1144878604 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 08/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144878604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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