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Organization

THE CHILD CENTER OF NY, INC.

Active
Other names
Blended Case Management
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, THE IRA MEYER CHILDREN'S CENTER, WOODSIDE, NY 11377-4973
(718) 943-3470
(718) 651-7254
Mailing address
6002 QUEENS BLVD, LOWER LEVEL, WOODSIDE, NY 11377-4973
(718) 651-7770
(718) 651-5029

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02189724
NY
Enumeration date
01/09/2007
Last updated
12/19/2013
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