St.vincent Services Springfield | |
16737 145th Ave Jamaica NY 11434-5106 | |
(718) 522-3700 | |
Not Available |
Full Name | St.vincent Services Springfield |
---|---|
Speciality | Community/behavioral Health |
Location | 16737 145th Ave, Jamaica, New York |
Authorized Official Name and Position | Jeffrey Benenati (MANAGING DIRECTOR OF FINANCE) |
Authorized Official Contact | 7184222204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St.vincent Services Springfield 16737 145th Ave Jamaica NY 11434-5106 Ph: (718) 522-3700 | St.vincent Services Springfield 16737 145th Ave Jamaica NY 11434-5106 Ph: (718) 522-3700 |
NPI Number | 1225284631 |
---|---|
Provider Enumeration Date | 08/18/2008 |
Last Update Date | 08/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225284631 | NPI | - | NPPES |
02958510 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 02958510 (New York) | Primary |
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