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Organization
LIFELINE CENTER FOR CHILD DEVELOPMENT
Active
Organization
LIFELINE CENTER FOR CHILD DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ZACHERMAN PHD (EXECUTIVE DIRECTOR)
(718) 740-4300
Entity
Organization
Contact information
Practice address
8009 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427
(718) 740-4300
(718) 217-9566
Mailing address
8009 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427
(718) 740-4300
(718) 217-9566
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
06000113345
NY
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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