Organization
JACKSON CHILDREN'S SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN GELMAN (DIRECTOR)
(718) 205-1919
Entity
Organization
Contact information
Practice address
3136 88TH ST, EAST ELMHURST, NY 11369-1415
(718) 205-1919
Mailing address
3136 88TH ST, EAST ELMHURST, NY 11369-1415
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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