Provider Demographics
NPI:1760635858
Name:CHILD CENTER NY
Entity Type:Organization
Organization Name:CHILD CENTER NY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAUDIECE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE-LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:718-480-4370
Mailing Address - Street 1:165-15 ARCHER AVE
Mailing Address - Street 2:
Mailing Address - City:QUEENS
Mailing Address - State:NY
Mailing Address - Zip Code:11422-2334
Mailing Address - Country:US
Mailing Address - Phone:171-848-0436
Mailing Address - Fax:
Practice Address - Street 1:6002 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-4973
Practice Address - Country:US
Practice Address - Phone:171-865-1502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No251C00000XAgenciesDay Training, Developmentally Disabled Services