| Child Center Of New York | |
|
11515 Sutphin Blvd Jamaica NY 11434-1020 | |
| (718) 659-4000 | |
| Not Available |
| Full Name | Child Center Of New York |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11515 Sutphin Blvd, Jamaica, New York |
| Authorized Official Name and Position | Racquel Jones (THERAPIST) |
| Authorized Official Contact | 7186594000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Center Of New York 115-15 Sutphin Blvd Jamaica NY 11434 Ph: () - | Child Center Of New York 11515 Sutphin Blvd Jamaica NY 11434-1020 Ph: (718) 659-4000 |
| NPI Number | 1033467014 |
|---|---|
| Provider Enumeration Date | 08/22/2012 |
| Last Update Date | 09/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033467014 | NPI | - | NPPES |
| 00244371 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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