| Institute For Childhood Education And Family Service | |
|
92-21 165th Street Jamaica NY 11433-1103 | |
| (718) 526-6125 | |
| (718) 526-9629 |
| Full Name | Institute For Childhood Education And Family Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 92-21 165th Street, Jamaica, New York |
| Authorized Official Name and Position | Yolanda Vitulli (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7185266125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Childhood Education And Family Service 92-21 165th Street Jamaica NY 11433-1103 Ph: (718) 526-6125 | Institute For Childhood Education And Family Service 92-21 165th Street Jamaica NY 11433-1103 Ph: (718) 526-6125 |
| NPI Number | 1801158407 |
|---|---|
| Provider Enumeration Date | 06/11/2012 |
| Last Update Date | 05/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801158407 | NPI | - | NPPES |
| 03253096 | Medicaid | NY | |
| 03412397 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 02209676 (New York) | Secondary |
| 251S00000X | Community/behavioral Health | 02351875 (New York) | Primary |
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