| Tsi | |
|
1016 162nd St Whitestone NY 11357-2124 | |
| (718) 746-6647 | |
| (718) 746-6799 |
| Full Name | Tsi |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1016 162nd St, Whitestone, New York |
| Authorized Official Name and Position | Kevin Pettaway (BILLING SUPERVISOR) |
| Authorized Official Contact | 7187466647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tsi 1016 162nd St Whitestone NY 11357-2124 Ph: (718) 746-6647 | Tsi 1016 162nd St Whitestone NY 11357-2124 Ph: (718) 746-6647 |
| NPI Number | 1932374972 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932374972 | NPI | - | NPPES |
| 02736932 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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