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8900 Van Wyck Expressway Jamaica NY 11418 | |
| (718) 206-6000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 8900 Van Wyck Expressway, Jamaica, New York |
| Authorized Official Name and Position | Seeth Vivek (CHAIRMAN, DEPARTMENT OF PSYCHIATRY) |
| Authorized Official Contact | 7182066000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8900 Van Wyck Expy Jamaica NY 11418-2832 Ph: (718) 206-6000 | 8900 Van Wyck Expressway Jamaica NY 11418 Ph: (718) 206-6000 |
| NPI Number | 1649554510 |
|---|---|
| Provider Enumeration Date | 10/10/2011 |
| Last Update Date | 10/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649554510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 260371 (New York) | Primary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 260371-1 (New York) | Secondary |
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