Woodside Clinic

LBN: The Child Center Of Ny, Inc.
Woodside Clinic is an health care organization with primary practice located at 6714 41St Ave , Woodside NY 11377-3790. 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, Inc. can be contacted via phone (718) 458-4243, or through Coppola, Jean M via phone (718) 651-7770.

Contact Information

Primary practice address
6714 41St Ave Woodside NY 11377-3790
Phone: (718) 458-4243
Fax: (718) 458-4481
Website:
Map and Directions
Authorized official contact:
Name: Coppola, Jean M
Phone: (718) 651-7770

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1801945738
LBN Legal business name The Child Center Of Ny, Inc.
DBA Doing business as Woodside Clinic
Authorized official Coppola, Jean M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Dec 19th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801945738 NPPES
New York Other 7403085 GHI
New York Other WV0071 GHI
New York MEDICAID 00244371 GHI

Popular Providers