Organization
THE CHILD CENTER OF NY, INC.
Active
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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