Provider Demographics
NPI:1669680674
Name:QUEENS PARENT RESOURCE CENTER, INC.
Entity type:Organization
Organization Name:QUEENS PARENT RESOURCE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGALEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-736-8690
Mailing Address - Street 1:11240 FRANCIS LEWIS BLVD
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11429-2235
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11240 FRANCIS LEWIS BLVD
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11429-2235
Practice Address - Country:US
Practice Address - Phone:718-736-8690
Practice Address - Fax:718-736-8696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02248488OtherIRA SUPERVISED
NY02004979OtherMSC
NY01736772OtherIN-HOME RES. HAB.
NY02379739OtherIRA SUPPORTIVE
NY02592107OtherFSS WAIVERIZED PROGRAMS
NY02701471OtherDAY HABILITATION
NY02173022OtherIN-HOME RES. HAB. 2