Is 59

LBN: The Child Center Of Ny
Is 59 is an health care organization with primary practice located at 18998 Ridgedale St Room 116C, Springfield Gardens NY 11413. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. The Child Center Of Ny can be contacted via phone (718) 659-4000, or through Coppola, Jean M via phone (718) 651-7770.

Contact Information

Primary practice address
18998 Ridgedale St Room 116C Springfield Gardens NY 11413
Fax:
Website:
Authorized official contact:
Name: Coppola, Jean M

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 6734122F New York

Profile Details

NPI number 1730337049
LBN Legal business name The Child Center Of Ny
DBA Doing business as Is 59
Authorized official Coppola, Jean M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2008
Last updated Aug 29th, 2008 - about 16 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 1730337049 NPPES
New York Other 7403085 GHI
New York MEDICAID 00244371 GHI
New York Other WV0071 GHI

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