Organization
CAMELOT OF STATEN ISLAND INC.
Active
Other names
camelot counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKE NASTA MPA, CASAC (EXECUTIVE DIRECTOR)
(718) 981-8117
Entity
Organization
Contact information
Practice address
17515 ROCKAWAY BLVD, JAMAICA, NY 11434-5503
(718) 632-3275
(718) 632-7952
Mailing address
17515 ROCKAWAY BLVD, JAMAICA, NY 11434-5503
(718) 632-3275
(718) 632-7952
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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