# THE CHILD CENTER OF NY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IS 59
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730337049
- **Authorized official:** MRS. JEAN M COPPOLA (BILLING MANAGER)
- **Authorized official phone:** (718) 651-7770

## Contact information

- **Practice address:** 18998 RIDGEDALE ST, ROOM 116C, SPRINGFIELD GARDENS, NY 11413
- **Practice address phone:** (718) 659-4000
- **Mailing address:** 6002 QUEENS BLVD, LOWER LEVEL, WOODSIDE, NY 11377-4973
- **Mailing address phone:** (718) 651-7770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 6734122F | NY | Yes |

## Other

- **Enumeration date:** 08/29/2008
- **Last updated:** 08/29/2008