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

TaxonomyCodeLicense
Point of Service Primary 305S00000X003165 (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.

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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.