Organization
WESTERN QUEENS CONSULTATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ROSA MARTINEZ (OFFICE MANAGER)
(718) 672-1705
Entity
Organization
Contact information
Practice address
7409 37TH AVE, JACKSON HEIGHTS, NY 11372-6300
(718) 672-1705
Mailing address
7409 37TH AVE, JACKSON HEIGHTS, NY 11372-6300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1477699791
NY
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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