OrganizationActive
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NPI 1457725905 · Case Manager/Care Coordinator · Jamaica, NY
Provider details
- NPI number
- 1457725905
- Entity type
- Organization
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Authorized official
- Debra Bacchus, Ceo/ Owner
Practice location
13010 144th St
Jamaica, NY 11436-2214
Phone: (718) 781-5417
Fax: (718) 322-7480
Mailing address
13010 144th St
Jamaica, NY 11436-2214
Registry dates
- Enumerated
- 2015-11-20
- Last updated
- 2015-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.