Organization
PUBLIC SCHOOL 37
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY MITCHEL MITCHEL (PRINCIPAL)
(718) 528-5399
Entity
Organization
Contact information
Practice address
17937 137TH AVE, JAMAICA, NY 11434-4032
(718) 528-5399
(718) 949-0887
Mailing address
190 04 89 AVENUE, HOLLIS, NY 11423
(718) 723-6443
(718) 528-5399
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
477149
NY
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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