Organization
THE CHILD CENTER OF NY, INC
Active
Other names
Queens Child Guidance Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN M COPPOLA (DIRECTOR OF BILLING)
(718) 651-7770
Entity
Organization
Contact information
Practice address
1414 29TH AVE, PS 171, ASTORIA, NY 11102-3643
(718) 932-0909
Mailing address
6002 QUEENS BLVD, WOODSIDE, NY 11377-4973
(718) 651-7770
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6734151F
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244371
—
NY
Enumeration date
05/20/2014
Last updated
05/20/2014
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