Organization
STATEN ISLAND MENTAL HEALTH SOCIETY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FERN ZAGOR LCSW, ACSW (EXECUTIVE VP-COO)
(718) 442-2225
Entity
Organization
Contact information
Practice address
669 CASTLETON AVE, STATEN ISLAND, NY 10301-2028
(718) 442-2225
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
6567100A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244344
—
NY
Enumeration date
02/28/2007
Last updated
08/22/2020
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