MENTAL HEALTH PROVIDERS OF WESTERN QUEENS INC. NPI 1417314154

NPI Information

NPI: 1417314154
Provider Name: MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
6207 WOODSIDE AVE
4TH FLOOR
WOODSIDE, NY
ZIP 11377
Phone: (718) 898-5085
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MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. is a rehabilitation and substance use disorder clinic center in Woodside, NY. MENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC. NPI is 1417314154. The provider is registered as an organization entity type.

The provider's business location address is:

6207 WOODSIDE AVE
4TH FLOOR
WOODSIDE, NY
ZIP 11377-576
Phone: (718) 898-5085
Fax: (718) 898-8852

The provider's authorized official is Cheryl Lazo Montanez .
The authorized official title is Program Director and has the following contact phone number (718) 898-5085.

The enumeration date for this NPI number is 1/26/2016 and was last updated on 1/26/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	096826	NEW YORK	Yes

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

NPI Synchronization or Removal

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