Organization
THE MARY LOUIS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA BOMMARITO MA, NSCP (SCHOOL PSYCHOLOGIST)
(718) 297-2120
Entity
Organization
Contact information
Practice address
17621 WEXFORD TER, JAMAICA, NY 11432-2926
(718) 297-2120
Mailing address
17621 WEXFORD TER, JAMAICA, NY 11432-2926
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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