Organization · Type 2 NPI
Mental Health
Point of Service · Valley Stream, NY
NPI number
1043330582
Active
Practice location
100 N Central Ave
Valley Stream, NY 11580-3821
Fax (516) 593-5026
Mailing address
13316 143rd St
Jamaica, NY 11436-2111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 003165 (NY) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Other point of service providers in Valley Stream
About NPI 1043330582
Mental Health's National Provider Identifier is 1043330582, issued on Mar 29, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Valley Stream, NY. The record was last updated on Jul 16, 2008.