Organization
AIDS CENTER OF QUEENS COUNTY, INC.
Active
Other names
ACQC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHEL EISENBERG (ASSOCIATE EXECUTIVE DIRECTOR, ADMIN)
(718) 896-2500
Entity
Organization
Contact information
Practice address
16121 JAMAICA AVE FL 6, JAMAICA, NY 11432-6113
(718) 896-2500
(718) 459-6542
Mailing address
16121 JAMAICA AVE FL 6, JAMAICA, NY 11432-6113
(718) 896-2500
(718) 459-6542
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8219110A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01225456
—
NY
05
—
01551555
—
NY
Enumeration date
06/25/2007
Last updated
10/19/2021
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