# THE CHILD CENTER OF NY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodside Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801945738
- **Authorized official:** MS. JEAN M COPPOLA (DIRECTOR OF BILLING)
- **Authorized official phone:** (718) 651-7770

## Contact information

- **Practice address:** 6714 41ST AVE, WOODSIDE, NY 11377-3790
- **Practice address phone:** (718) 458-4243
- **Practice address fax:** (718) 458-4481
- **Mailing address:** 6002 QUEENS BLVD, LOWER LEVEL, WOODSIDE, NY 11377-4973
- **Mailing address phone:** (718) 651-7770
- **Mailing address fax:** (718) 651-5029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 12/19/2013