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NPI Code Detail

MEDICARE: TRANSITIONAL SERVICES FOR NEW YORK, INC

MEDICARE: TRANSITIONAL SERVICES FOR NEW YORK, 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 AgencyNY

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 : 1457418337
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANSITIONAL SERVICES FOR NEW YORK, INC
Provider Business Mailing Address
First Line : 1016 162ND ST
Second Line :
City : WHITESTONE
State : NY
Zip : 11357-2124
Country : US
Telephone Number : 718-746-6647
Fax Number :
Provider Business Practice Location Address
First Line : 9027 SUTPHIN BLVD STE 5
Second Line :
City : JAMAICA
State : NY
Zip : 11435-3648
Country : US
Telephone Number : 718-526-8400
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : LARRY STEVEN GRUBLER
Credential : PSY.D.
Telephone Number : 718-746-6647
Provider Enumeration Date : 01/02/2007
Last Update Date : 06/06/2023

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Directions to “TRANSITIONAL SERVICES FOR NEW YORK, INC ” Practice Location

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