Provider Demographics
NPI:1619422490
Name:A&J BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:A&J BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROJECT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCUDERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-590-7575
Mailing Address - Street 1:2835 41ST ST APT C6
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3328
Mailing Address - Country:US
Mailing Address - Phone:718-777-0366
Mailing Address - Fax:
Practice Address - Street 1:2835 41ST ST APT C6
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3328
Practice Address - Country:US
Practice Address - Phone:718-777-0366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103K00000X251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health