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Organization
THE CHILD CENTER OF NY, INC.
Active
Organization
THE CHILD CENTER OF NY, INC.
Active
Other names
Woodside Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN M COPPOLA (DIRECTOR OF BILLING)
(718) 651-7770
Entity
Organization
Contact information
Practice address
6714 41ST AVE, WOODSIDE, NY 11377-3790
(718) 458-4243
(718) 458-4481
Mailing address
6002 QUEENS BLVD, LOWER LEVEL, WOODSIDE, NY 11377-4973
(718) 651-7770
(718) 651-5029
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/09/2007
Last updated
12/19/2013
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