820 River Street

LBN: 820 River Street
820 River Street is an health care organization with primary practice located at 10830 Sutphin Blvd , Jamaica NY 11435-5444. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. 820 River Street can be contacted via phone (718) 526-3803, or through Vasquez, Elizabeth via phone (718) 526-3803.

Contact Information

Primary practice address
10830 Sutphin Blvd Jamaica NY 11435-5444
Phone: (718) 526-3803
Fax: (718) 526-3908
Website:
Map and Directions
Authorized official contact:
Name: Vasquez, Elizabeth
Phone: (718) 526-3803

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X New York

Profile Details

NPI number 1588077655
LBN Legal business name 820 River Street
DBA Doing business as
Authorized official Vasquez, Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2014
Last updated Jun 6th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588077655 NPPES
New York MEDICAID 01137159

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