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Organization
ST GREGORY THE GREAT COMMUNITY SERVICE CENTER INC
Active
Organization
ST GREGORY THE GREAT COMMUNITY SERVICE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIANNE FARELLA LCSW-R (EXECUTIVE DIRECTOR)
(718) 343-5978
Entity
Organization
Contact information
Practice address
8819 CROSS ISLAND PKWY, BELLEROSE, NY 11426-1633
(718) 343-5978
(718) 343-4101
Mailing address
8819 CROSS ISLAND PKWY, BELLEROSE, NY 11426-1633
(718) 343-5978
(718) 343-4101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R048675-1
NY
Other
Enumeration date
10/23/2008
Last updated
12/18/2008
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