Healthcare Provider Details

I. General information

NPI: 1285277202
Provider Name (Legal Business Name): COMMUNITY CONSCIOUS CULTURAL EVENTS (C3E, INC.)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2019
Last Update Date: 10/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13220 116TH AVE
SOUTH OZONE PARK NY
11420-2646
US

IV. Provider business mailing address

13220 116TH AVE
SOUTH OZONE PARK NY
11420-2646
US

V. Phone/Fax

Practice location:
  • Phone: 347-427-8668
  • Fax: 718-425-0864
Mailing address:
  • Phone: 347-427-8668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YVONNE SHAI HANKINS
Title or Position: HOLISTIC HEALTH CONSULTANT
Credential: CONSULTANT
Phone: 347-427-8668