Organization
EDITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH LAUFER (SUPERVISOR)
(212) 288-0036
Entity
Organization
Contact information
Practice address
2123 41ST ST, 1ST FLOOR, ASTORIA, NY 11105-1708
(718) 755-5328
Mailing address
2123 41ST ST, 1ST FLOOR, ASTORIA, NY 11105-1708
(718) 755-5328
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
692510
NY
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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