| The Child Center Of Ny | |
|
10835 157th St Room 121 D Jamaica NY 11433-2744 | |
| (718) 659-4000 | |
| Not Available |
| Full Name | The Child Center Of Ny |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 10835 157th St, Jamaica, New York |
| Authorized Official Name and Position | Jean M Coppola (BILLING MANAGER) |
| Authorized Official Contact | 7186517770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Child Center Of Ny 6002 Queens Blvd Woodside NY 11377-4973 Ph: (718) 651-7770 | The Child Center Of Ny 10835 157th St Room 121 D Jamaica NY 11433-2744 Ph: (718) 659-4000 |
| NPI Number | 1013165315 |
|---|---|
| Provider Enumeration Date | 08/29/2008 |
| Last Update Date | 08/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013165315 | NPI | - | NPPES |
| 00244371 | Medicaid | NY | |
| WV0071 | Other | NY | BLUE CROSS/BLUE SHIELD |
| 7403085 | Other | NY | GHI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 6734122J (New York) | Primary |
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