Queens County Neuropsychiatric Institute Inc.

Organization Active NPI Community/Behavioral Health Agency · Jackson HTS, NY

NPI 1306906243 · NPPES record last updated Dec 20, 2017

Key facts

NPI
1306906243
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
6736120A (NY)
Legal business name
QUEENS COUNTY NEUROPSYCHIATRIC INSTITUTE INC.
Practice address
37 64 72ND St
Jackson HTS, NY 11372-6143
Phone
(718) 335-3434
Fax
(718) 335-4731
NPI assigned
Dec 11, 2006
Organization subpart
No

Authorized official

Name
Joseph J Faillace, PH.D.
Title
Executive Director
Phone
(718) 779-2434

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6736120A NY Yes

Addresses

Primary practice location

37 64 72ND St
Jackson HTS, NY 11372-6143

Mailing address

37 64 72ND St
Jackson HTS, NY 11372-6143
Phone (718) 335-3434

Other identifiers

IdentifierTypeStateIssuer
00249610MedicaidNY

Other providers in Jackson HTS, NY

All providers in Jackson HTS, NY · Community/Behavioral Health Agency in New York

Sources for this page

Verify at the official NPI Registry.