Organization
QUEENS PSYCHOTHERAPY LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW THOMAS DINER PHD, LCSW (OWNER)
(917) 267-8359
Entity
Organization
Contact information
Practice address
8786 188TH ST FL 1, JAMAICA, NY 11423-1131
(917) 267-8359
Mailing address
8786 188TH ST FL 1, JAMAICA, NY 11423-1131
(917) 267-8359
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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