Organization
ORLY Y COSTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ORLY Y COSTO L.M.S.W. (SOCIAL WORKER)
(631) 464-2903
Entity
Organization
Contact information
Practice address
10819 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-1034
(718) 845-2620
(718) 845-9380
Mailing address
509 ADAMS AVE, WEST HEMPSTEAD, NY 11552-2707
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
087351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087351
—
NY
Enumeration date
08/19/2015
Last updated
08/19/2015
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