Organization
THE CHILD CENTER OF NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI DONNELLY MS (CHIEF EXECUTIVE OFFICER)
(718) 651-7770
Entity
Organization
Contact information
Practice address
6714 41ST AVE, WOODSIDE, NY 11377-8128
(718) 458-4243
Mailing address
6714 41ST AVE, WOODSIDE, NY 11377-8128
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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