Organization
STEVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE VASCO (CEO)
(347) 277-4835
Entity
Organization
Contact information
Practice address
11714 QUEENS BLVD, 2ND FL, FOREST HILLS, NY 11375-7052
(347) 277-4835
Mailing address
11714 QUEENS BLVD, 2ND FL, FOREST HILLS, NY 11375-7052
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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