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Organization
SERVICES FOR THE UNDERSERVED, INC.
Active
Organization
SERVICES FOR THE UNDERSERVED, INC.
Active
Other names
Services for the Underserved 92nd St ICF
Organization subpart
No
Provider details
NPI number
Authorized official
LIN YANG MBA (DIRECTOR - MEDICAID BILLING)
(917) 408-1642
Entity
Organization
Contact information
Practice address
101-38 92ND STREET, OZONE PARK, NY 11416-2205
(917) 408-1642
(855) 370-9384
Mailing address
305 7TH AVE, 10TH FLOOR, NEW YORK, NY 10001-6008
(917) 408-1642
(855) 370-9384
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
7559303
NY
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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