Organization
NIFKAB
Active
Other names
Clinical Psychotherapy and Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH BARR (SVP)
(516) 351-4884
Entity
Organization
Contact information
Practice address
981 BAY ST, SUITE NUMBER 6, STATEN ISLAND, NY 10305-4903
(718) 815-3500
(718) 764-6064
Mailing address
POST OFFICE BOX 60725, STATEN ISLAND, NY 10306-0725
(718) 815-3500
(718) 760-6064
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
03/25/2011
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