| Ymca Of Greater Ny | |
|
3911 Richmond Ave Staten Island NY 10312-5110 | |
| (718) 948-3232 | |
| (718) 966-6605 |
| Full Name | Ymca Of Greater Ny |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3911 Richmond Ave, Staten Island, New York |
| Authorized Official Name and Position | Joanna Mckernan (PROGRAM DIRECTOR FOR ADULTS/ADOLESC) |
| Authorized Official Contact | 7189483232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ymca Of Greater Ny 3911 Richmond Ave Staten Island NY 10312-5110 Ph: (718) 948-3232 | Ymca Of Greater Ny 3911 Richmond Ave Staten Island NY 10312-5110 Ph: (718) 948-3232 |
| NPI Number | 1679023717 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679023717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 261QR0405X (New York) | Primary |
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