OrganizationActive
Etat Dame Psychological Services
NPI 1306667142 · Adult Mental Health Clinic/Center · Long Island City, NY
Provider details
- NPI number
- 1306667142
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jihee Cho, Co-Founder(929) 738-1592
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4332 22nd St Ste 203
Long Island City, NY 11101-5077
Phone: (929) 738-1592
Approximate (ZIP-level) locationGet directions
Mailing address
4332 22nd St Ste 203
Long Island City, NY 11101-5077
Additional practice locations (2)
- 1 Pine West Plz Ste 109Albany, NY 12205-5531Phone: (929) 738-1592
- 1143 47th Ave Fl 2Long Island City, NY 11101-5465Phone: (646) 450-2475
Registry dates
- Enumerated
- 2024-10-23
- Last updated
- 2024-10-23
- Certified
- 2024-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.