Organization
THE CHILD CENTER OF NY, INC.
Active
Other names
Waiver Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN M COPPOLA (DIRECTOR OF BILLING)
(718) 651-7770
Entity
Organization
Contact information
Practice address
6002 QUEENS BLVD, WOODSIDE, NY 11377-4973
(718) 651-7770
(718) 396-8349
Mailing address
6002 QUEENS BLVD, WOODSIDE, NY 11377-4973
(718) 651-7770
(718) 396-8349
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02882108
—
NY
Enumeration date
03/06/2008
Last updated
12/19/2013
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