Organization
MERCY DRIVE REGIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTABELLA COCHRAN (CEO)
(718) 725-9896
Entity
Organization
Contact information
Practice address
7235 112TH ST # SST, PR-6, FOREST HILLS, NY 11375-5469
(718) 725-9896
Mailing address
7235 112TH ST # SST, PR-6, FOREST HILLS, NY 11375-5469
(718) 725-9896
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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