| Promoting Specialized Care & Health | |
|
1904 49th St Astoria NY 11105-1103 | |
| (718) 278-1685 | |
| Not Available |
| Full Name | Promoting Specialized Care & Health |
|---|---|
| Speciality | Clinic/center |
| Location | 1904 49th St, Astoria, New York |
| Authorized Official Name and Position | Jacqueline Rivera-herrera (VP OF FINANCE CLINICAL SERVICES) |
| Authorized Official Contact | 3475424217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promoting Specialized Care & Health 142-02 20th Avenue 3rd Floor Flushing NY 11351 Ph: (718) 445-4700 | Promoting Specialized Care & Health 1904 49th St Astoria NY 11105-1103 Ph: (718) 278-1685 |
| NPI Number | 1417011974 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 02/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417011974 | NPI | - | NPPES |
| 01410833 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 01410833 (New York) | Primary |
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