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Organization
THE CHILD CENTER OF NY
Active
Organization
THE CHILD CENTER OF NY
Active
Other names
MS 8
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN M COPPOLA (BILLING MANAGER)
(718) 651-7770
Entity
Organization
Contact information
Practice address
10835 157TH ST, ROOM 121 D, JAMAICA, NY 11433-2744
(718) 659-4000
Mailing address
6002 QUEENS BLVD, WOODSIDE, NY 11377-4973
(718) 651-7770
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
6734122J
NY
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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