| Project Hospitality Inc. | |
|
14 Slosson Ter Staten Island NY 10301-2507 | |
| (718) 273-8409 | |
| (718) 273-5265 |
| Full Name | Project Hospitality Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14 Slosson Ter, Staten Island, New York |
| Authorized Official Name and Position | Terry Troia (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7184481544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Hospitality Inc. 100 Park Ave Staten Island NY 10302-1440 Ph: (718) 448-1544 | Project Hospitality Inc. 14 Slosson Ter Staten Island NY 10301-2507 Ph: (718) 273-8409 |
| NPI Number | 1356468540 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 12/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356468540 | NPI | - | NPPES |
| 01292593 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 151110948 (New York) | Primary |
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