Peninsula Counseling Center,inc | |
50 W. Hawthorne Avenue Valley Stream NY 11580 | |
(516) 569-6600 | |
(516) 374-2261 |
Full Name | Peninsula Counseling Center,inc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 50 W. Hawthorne Avenue, Valley Stream, New York |
Authorized Official Name and Position | Jacqueline Rivera-herrera (VP OF FINANCE FOR CLINICAL SERVICES) |
Authorized Official Contact | 3475424217 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Peninsula Counseling Center,inc 142-02 20th Avenue 3rd Floor Flushing NY 11351 Ph: (718) 559-0555 | Peninsula Counseling Center,inc 50 W. Hawthorne Avenue Valley Stream NY 11580 Ph: (516) 569-6600 |
NPI Number | 1437262839 |
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Provider Enumeration Date | 08/17/2006 |
Last Update Date | 03/04/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437262839 | NPI | - | NPPES |
00244817 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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