# SERVICES FOR THE UNDERSERVED, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Services for the Underserved 92nd St ICF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619354552
- **Authorized official:** LIN YANG MBA (DIRECTOR - MEDICAID BILLING)
- **Authorized official phone:** (917) 408-1642

## Contact information

- **Practice address:** 101-38 92ND STREET, OZONE PARK, NY 11416-2205
- **Practice address phone:** (917) 408-1642
- **Practice address fax:** (855) 370-9384
- **Mailing address:** 305 7TH AVE, 10TH FLOOR, NEW YORK, NY 10001-6008
- **Mailing address phone:** (917) 408-1642
- **Mailing address fax:** (855) 370-9384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 7559303 | NY | Yes |

## Other

- **Enumeration date:** 04/29/2015
- **Last updated:** 04/29/2015