| Safe Space Nyc, Inc. | |
|
16318 Jamaica Ave Jamaica NY 11432-4901 | |
| (718) 206-3440 | |
| (718) 206-3638 |
| Full Name | Safe Space Nyc, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 16318 Jamaica Ave, Jamaica, New York |
| Authorized Official Name and Position | Evelyn Eccles (CONTROLLER) |
| Authorized Official Contact | 2128865617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Space Nyc, Inc. 8974 162nd St 5th Floor Jamaica NY 11432-5072 Ph: (718) 526-2400 | Safe Space Nyc, Inc. 16318 Jamaica Ave Jamaica NY 11432-4901 Ph: (718) 206-3440 |
| NPI Number | 1760532279 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 11/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760532279 | NPI | - | NPPES |
| 00368387 | Medicaid | NY |
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