Organization
COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYTTON (SNR. VP/CHIEF FISCAL OFFICER)
(718) 808-1422
Entity
Organization
Contact information
Practice address
56 BAY ST, STATEN ISLAND, NY 10301-2563
(718) 808-1300
(718) 808-1393
Mailing address
56 BAY ST, STATEN ISLAND, NY 10301-2563
(718) 808-1300
(718) 808-1393
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
080311454
NY
251S00000X
Community/Behavioral Health Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02521240
—
NY
Enumeration date
07/23/2007
Last updated
04/08/2016
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