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Organization

TRANSITIONAL SERVICES FOR NY

Active
Other names
TSI
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN PETTAWAY (BILLING SUPERVISOR)
(718) 746-6647
Entity
Organization

Contact information

Practice address
1016 162ND ST, WHITESTONE, NY 11357-2124
(718) 746-6647
(718) 746-6799
Mailing address
1016 162ND ST, WHITESTONE, NY 11357-2124
(718) 746-6647
(718) 746-6799

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02736932
NY
Enumeration date
04/29/2008
Last updated
04/29/2008
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