Organization
THE CHILD CENTER OF NY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIOSOTTE CABAN CASAC-T (FAMILY THERAPIST)
(718) 297-8000
Entity
Organization
Contact information
Practice address
1761 3RD AVE APT 12F, NEW YORK, NY 10029-6818
(718) 297-8000
Mailing address
1761 3 AVENUE APT 12F, NEW YORK, NY 10029
(718) 297-8000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
06308
NY
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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