OrganizationActive
Mental Health
NPI 1043330582 · Point of Service · Valley Stream, NY
Provider details
- NPI number
- 1043330582
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Olga Mondesir, Licensed Mental Health(516) 593-5024
- License
- 003165 (NY)
Specialties & taxonomies
Managed Care Organizations
Practice location
100 N Central Ave
Valley Stream, NY 11580-3821
Phone: (516) 593-5024
Fax: (516) 593-5026
Approximate (ZIP-level) locationGet directions
Mailing address
13316 143rd St
Jamaica, NY 11436-2111
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2008-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.