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Organization
THE CHILD CENTER OF NY
Active
Organization
THE CHILD CENTER OF NY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN M COPPOLA (BILLING MANAGER)
(718) 651-7770
Entity
Organization
Contact information
Practice address
8708 JUSTICE AVE, SUITE C7, ELMHURST, NY 11373-4575
(718) 899-9810
Mailing address
6002 QUEENS BLVD, LOWER LEVEL, WOODSIDE, NY 11377-4973
(718) 651-7770
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
6734124
NY
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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