Organization
NEW YORK TRAUMA CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB M ADLER LCSW-R (CEO)
(516) 239-3303
Entity
Organization
Contact information
Practice address
14752 69TH RD, FLUSHING, NY 11367-1732
(718) 575-0308
Mailing address
14752 69TH RD, FLUSHING, NY 11367-1732
(718) 575-0308
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
R0296771
NY
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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