| Woodside Clinic | |
|
6714 41st Ave Woodside NY 11377-3790 | |
| (718) 458-4243 | |
| (718) 458-4481 |
| Full Name | Woodside Clinic |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 6714 41st Ave, Woodside, 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 |
|---|---|
| Woodside Clinic 6002 Queens Blvd Lower Level Woodside NY 11377-4973 Ph: (718) 651-7770 | Woodside Clinic 6714 41st Ave Woodside NY 11377-3790 Ph: (718) 458-4243 |
| NPI Number | 1801945738 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 12/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801945738 | NPI | - | NPPES |
| 7403085 | Other | NY | GHI |
| WV0071 | Other | NY | BLUE CROSS BLUE SHIELD |
| 00244371 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Happy Kids Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4277 65th Pl, Woodside, NY 11377 Phone: 718-429-2000 | |
The Child Center Of New York Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6714 41st Ave, Woodside, NY 11377 Phone: 718-458-4243 | |
Clinic Plus - Flushing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6002 Queens Blvd, Ira Meyer Center, Woodside, NY 11377 Phone: 718-943-3470 Fax: 718-651-7227 | |
Latino Support Lcsw, P.c Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4322 50 Street, Suite 2c, Woodside, NY 11377 Phone: 718-505-1531 Fax: 347-808-9871 | |
Head Start Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6002 Roosevelt Ave, Woodside, NY 11377 Phone: 718-943-2800 Fax: 718-943-2799 | |
Clinic Plus - Kew Hills Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6002 Queens Blvd, Ira Meyer Center, Woodside, NY 11377 Phone: 718-943-3470 Fax: 718-651-7227 | |
Esp Enterprise Support Professionals, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3128 55th St, Woodside, NY 11377 Phone: 646-233-1519 Fax: 212-222-2878 |