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Organization

MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLGA J MONDESIR MENTAL HEALTH (LICENSED MENTAL HEALTH)
(516) 593-5024
Entity
Organization

Contact information

Practice address
100 N CENTRAL AVE, VALLEY STREAM, NY 11580-3821
(516) 593-5024
(516) 593-5026
Mailing address
13316 143RD ST, JAMAICA, NY 11436-2111
(718) 659-4621
(718) 659-4638

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
003165
NY

Other

Enumeration date
03/29/2007
Last updated
07/16/2008
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