Organization
LIFELINE CENTER FOR CHILD DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ZACHERMAN PHD (EXECUTIVE DIRECTOR)
(718) 740-4300
Entity
Organization
Contact information
Practice address
8009 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427
(718) 740-4300
(718) 217-9566
Mailing address
8009 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427
(718) 740-4300
(718) 217-9566
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
06000113345
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244353
—
NY
Enumeration date
10/10/2006
Last updated
08/22/2020
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