Organization
JBFCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIVA MATAS (OFFICE MANAGER)
(718) 676-4210
Entity
Organization
Contact information
Practice address
2020 CONEY ISLAND AVE, BROOKLYN, NY 11223-2329
(718) 676-4210
Mailing address
2020 CONEY ISLAND AVE, BROOKLYN, NY 11223-2329
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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