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NPI Code Detail

MEDICARE: QUEENS COUNTY NEUROPSYCHIATRIC INSTITUTE INC.

MEDICARE: QUEENS COUNTY NEUROPSYCHIATRIC INSTITUTE INC.
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
1251S00000XCommunity/Behavioral Health Agency6736120ANY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306906243
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUEENS COUNTY NEUROPSYCHIATRIC INSTITUTE INC.
Provider Business Mailing Address
First Line : 37 64 72ND ST
Second Line :
City : JACKSON HTS
State : NY
Zip : 11372-6143
Country : US
Telephone Number : 718-335-3434
Fax Number : 718-335-4731
Provider Business Practice Location Address
First Line : 37 64 72ND ST
Second Line :
City : JACKSON HTS
State : NY
Zip : 11372-6143
Country : US
Telephone Number : 718-335-3434
Fax Number : 718-335-4731
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JOSEPH J FAILLACE
Credential : PH.D.
Telephone Number : 718-779-2434
Provider Enumeration Date : 12/11/2006
Last Update Date : 12/20/2017

Similar Medicare Providers

1780742056 — DR. JOSEPH J FAILLACE PHD LMHC
Practice Location Address:
3764 72ND ST , OCNI
JACKSON HTS, NY
11372-6143
Practice Phone: 718-335-3434
Practice Fax: 718-335-4731
1134287402 — MR. JULIAN J RIVERA LMSW
Practice Location Address:
OCNI 3764 72ND ST
JACKSON HTS, NY
11372-6143
Practice Phone: 718-335-3434
Practice Fax: 718-335-4731
1497813760 — MR. PHILIP JOHN CLANCEY LCSW
Practice Location Address:
3764 72ND ST , OCNI
JACKSON HTS, NY
11372-6143
Practice Phone: 718-335-3434
Practice Fax: 718-335-4731
1508924861 — MR. GREGORY L HIGGINS
Practice Location Address:
3764 72ND ST , OCNI
JACKSON HTS, NY
11372-6143
Practice Phone: 718-335-3434
Practice Fax: 718-335-4731
1508924879 — DR. CESAR M GARCES DSW LMSW
Practice Location Address:
3764 72ND ST , OCNI
JACKSON HTS, NY
11372-6143
Practice Phone: 718-335-3434
Practice Fax: 718-335-4731
1841350782 — MR. CESAR R VERA LCSW
Practice Location Address:
OCNI 37 64 72ND ST
JACKSON HTS, NY
11372-6143
Practice Phone: 718-335-3434
Practice Fax: 718-335-4731

Directions to “QUEENS COUNTY NEUROPSYCHIATRIC INSTITUTE INC. ” Practice Location

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