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Organization
YMCA OF GREATER NY
Active
Organization
YMCA OF GREATER NY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNA MCKERNAN LCSW MDFT (PROGRAM DIRECTOR FOR ADULTS/ADOLESC)
(718) 948-3232
Entity
Organization
Contact information
Practice address
3911 RICHMOND AVE, STATEN ISLAND, NY 10312-5110
(718) 948-3232
(718) 966-6605
Mailing address
3911 RICHMOND AVE, STATEN ISLAND, NY 10312-5110
(718) 948-3232
(718) 966-6605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
261QR0405X
NY
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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