| Associates For Inner Resource Development | |
|
110-20 71st Ave Professional Office #3 Forest Hills NY 11375 | |
| (718) 544-3454 | |
| Not Available |
| Full Name | Associates For Inner Resource Development |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 110-20 71st Ave, Forest Hills, New York |
| Authorized Official Name and Position | Carol Weidberg (PRESIDENT) |
| Authorized Official Contact | 7185443454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates For Inner Resource Development 125-10 Queens Blvd Apt 2405 Kew Gardens NY 11415 Ph: (718) 544-3454 | Associates For Inner Resource Development 110-20 71st Ave Professional Office #3 Forest Hills NY 11375 Ph: (718) 544-3454 |
| NPI Number | 1770605859 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 04/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770605859 | NPI | - | NPPES |
| 0067583 | Other | NY | GHI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R11905 (New York) | Primary |
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