| Individualized Family Care Llc | |
|
12-22 30th Ave Apt 4h Astoria NY 11102 | |
| (347) 369-2733 | |
| Not Available |
| Full Name | Individualized Family Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12-22 30th Ave, Astoria, New York |
| Authorized Official Name and Position | Yocheved Polishuk (OWNER/PRACTICE MANAGER) |
| Authorized Official Contact | 3473692733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Individualized Family Care Llc 12-22 30th Ave 4 H Astoria NY 11102 Ph: (347) 369-2733 | Individualized Family Care Llc 12-22 30th Ave Apt 4h Astoria NY 11102 Ph: (347) 369-2733 |
| NPI Number | 1295194116 |
|---|---|
| Provider Enumeration Date | 02/19/2016 |
| Last Update Date | 06/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295194116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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