Organization
CHILD CENTER OF NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGNELO DIAS (CLINIC ADMINISTRATOR)
(718) 358-8288
Entity
Organization
Contact information
Practice address
14015B SANFORD AVE, 2ND FLOOR, FLUSHING, NY 11355-2557
(718) 358-8288
(718) 358-5265
Mailing address
14015B SANFORD AVE, 2ND FLOOR, FLUSHING, NY 11355-2557
(718) 358-8288
(718) 358-5265
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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