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OUTREACH DEVELOPMENT CORPORATION NPI 1083717326


NPI Information

NPI: 1083717326
Provider Name: OUTREACH DEVELOPMENT CORPORATION

Other Name: OUTREACH PROJECT

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
11711 MYRTLE AVENUE
RICHMOND HILL, NY
ZIP 11418
Phone: (718) 847-9233
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OUTREACH DEVELOPMENT CORPORATION is an addiction (substance use disorder) counselor in Richmond Hill, NY. OUTREACH DEVELOPMENT CORPORATION NPI is 1083717326. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Outreach Project.

The provider's business location address is:

11711 MYRTLE AVENUE
RICHMOND HILL, NY
ZIP 11418-751
Phone: (718) 847-9233
Fax: (718) 849-1093

The provider's authorized official is Christine Casiano .
The authorized official title is Vice President Of Operations And Co and has the following contact phone number (718) 847-9233.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 8/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)081110563NEW YORKNo
2101YA0400XCounselorAddiction (Substance Use Disorder)061110561NEW YORKNo
3101YA0400XCounselorAddiction (Substance Use Disorder)070511273NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100994803MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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