Organization
STATEN ISLAND MENTAL HEALTH SOCIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FERN ZAGOR (CEO)
(718) 442-2225
Entity
Organization
Contact information
Practice address
444 SAINT MARKS PL, STATEN ISLAND, NY 10301-2434
(718) 720-6727
Mailing address
669 CASTLETON AVE, STATEN ISLAND, NY 10301-2028
(718) 442-2225
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0896391
NY
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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