Organization
GLENCARA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN FOLEY LCSW (PRESIDENT)
(718) 454-9804
Entity
Organization
Contact information
Practice address
8605 218TH ST, QUEENS VILLAGE, NY 11427-1922
(718) 454-9804
(718) 454-9806
Mailing address
8605 218TH ST, QUEENS VILLAGE, NY 11427-1922
(718) 454-9804
(718) 454-9806
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R 15236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02448819
—
NY
01
—
12151001
HIP
NY
01
—
12151001
MULTIPLAN
—
01
—
7405842
GHI
NY
01
—
87726
INITED BEHAVIORAL HEALTH
NY
01
—
MHS237632
VALUE OPTIONS
NY
01
—
P00472672
RAILROAD MEDICARE
NY
Enumeration date
08/26/2008
Last updated
08/26/2008
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