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NPI Code Detail

MEDICARE: YMCA OF GREATER NEW YORK

MEDICARE: YMCA OF GREATER NEW YORK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/CenterNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1142974OTHERNYVALUE OPTIONS - INSURANCE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3264705OTHERNYCOMPSYCH - INSURANCE
41059540OTHERNYBEACON HEALTH STRATEGIES
5A3385556OTHERNYOXFORD - INSURANCE

General Provider Information

NPI Number : 1013083476
Entity Type Code : Organization
Provider Name (Legal Business Name) : YMCA OF GREATER NEW YORK
Provider Business Mailing Address
First Line : 3911 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-5110
Country : US
Telephone Number : 718-948-3232
Fax Number : 718-966-6605
Provider Business Practice Location Address
First Line : 3911 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-5110
Country : US
Telephone Number : 718-948-3232
Fax Number : 718-966-6605
Authorized Official
Title or Position : INTERIM EXECUTIVE DIRECTOR
Name : MR. JOSEPH MICHAEL VERHEY
Credential : LCSW,CASAC
Telephone Number : 718-948-3232
Provider Enumeration Date : 11/28/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

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1194093757 — JACQUELINE FILIS LCSW, CASAC
Practice Location Address:
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STATEN ISLAND, NY
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1518235175 — MR. SEAN MICHAEL HENNESSEY LMSW
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1124396759 — MELISSA ANN TORRES C.A.S.A.C
Practice Location Address:
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Practice Fax: 718-966-6605

Directions to “YMCA OF GREATER NEW YORK ” Practice Location

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