OrganizationActive
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NPI 1700235397 · Community/Behavioral Health Agency · Forest Hills, NY
Provider details
- NPI number
- 1700235397
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shana Dennie, Credentialing Specialist- Affiliate(718) 886-7633
- License
- 998586405 (NY)
Specialties & taxonomies
Agencies
Practice location
7000 Austin St, Suite 200
Forest Hills, NY 11375
Phone: (718) 886-7633
Approximate (ZIP-level) locationGet directions
Mailing address
11041 107th St
Ozone Park, NY 11417-2656
Registry dates
- Enumerated
- 2016-06-06
- Last updated
- 2016-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.