Organization
NYC QCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRIEDA ROSEANNA OMEZI 06/23/008 (LMSW)
(718) 264-4934
Entity
Organization
Contact information
Practice address
7403 COMMONWEALTH BLVD, JAMAICA, NY 11426-1839
(718) 264-4500
Mailing address
7403 COMMONWEALTH BLVD, JAMAICA, NY 11426-1839
(718) 264-4500
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
077176
NY
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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