Organization
SAMUEL FIELD YM&YWHA
Active
Organization
SAMUEL FIELD YM&YWHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE ELLMAN (EXECUTIVE VICE PRESIDENT & CEO)
(718) 225-0566
Entity
Organization
Contact information
Practice address
59-28 LITTLE NECK PARKWAY, LITTLE NECK, NY 11362
(718) 224-0566
(718) 224-7544
Mailing address
5820 LITTLE NECK PKWY, LITTLE NECK, NY 11362-2530
(718) 225-6750
(718) 224-7544
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
NY
261QM0850X
Adult Mental Health Clinic/Center
Primary
8600150A
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/24/2006
Last updated
03/15/2022
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