Organization
COUNSELING SERVICE EDNY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN COSTIN LMSW (EXECUTIVE DIRECTOR)
(718) 250-4833
Entity
Organization
Contact information
Practice address
16318 JAMAICA AVE, COUNSELING SERVICE OF EDNY, JAMAICA, NY 11432-4901
(718) 658-0010
(718) 658-2962
Mailing address
16318 JAMAICA AVE, COUNSELING SERVICE OF EDNY, JAMAICA, NY 11432-4901
(718) 658-0010
(718) 658-2962
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
72079127
NY
Other
Enumeration date
06/22/2009
Last updated
06/23/2009
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