| Full Name | Esnlc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2425 23rd St, Astoria, New York |
| Authorized Official Name and Position | Sanyale Jones (OWNER/PRESIDENT) |
| Authorized Official Contact | 9178641233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esnlc 2425 23rd St 2nd Floor Astoria NY 11102-2837 Ph: (917) 864-1233 | Esnlc 2425 23rd St 2nd Floor Astoria NY 11102-2837 Ph: (917) 864-1233 |
| NPI Number | 1275977027 |
|---|---|
| Provider Enumeration Date | 04/23/2013 |
| Last Update Date | 04/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275977027 | NPI | - | NPPES |
| 00000000 | Other | NY | SUBCONTRACT CLINICAL SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 00000000 (New York) | Primary |
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