Provider Demographics
NPI:1467810705
Name:A&M AND ASSOCIATES LLC
Entity Type:Organization
Organization Name:A&M AND ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:CASAC
Authorized Official - Phone:347-317-9181
Mailing Address - Street 1:17919 SELOVER RD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-3409
Mailing Address - Country:US
Mailing Address - Phone:347-317-9181
Mailing Address - Fax:347-332-8392
Practice Address - Street 1:9531 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-2224
Practice Address - Country:US
Practice Address - Phone:718-600-6045
Practice Address - Fax:347-332-8392
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNDER THE ROOF LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-01
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20049101YA0400X, 251B00000X, 251T00000X, 251V00000X, 252Y00000X, 343900000X
NY0723431041C0700X, 106H00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationGroup - Multi-Specialty
No251V00000XAgenciesVoluntary or CharitableGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0250677Medicaid