Blue Haven Consultation Service Inc.
Organization Active NPI Case Management Agency · Hollis, NY
NPI 1891037883 · NPPES record last updated Mar 18, 2013
Key facts
- NPI
- 1891037883
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- BLUE HAVEN CONSULTATION SERVICE INC.
- Practice address
- 20417 Hillside Ave
Suite #309
Hollis, NY 11423-2213 - Phone
- (718) 415-3832
- NPI assigned
- Mar 18, 2013
- Organization subpart
- No
Authorized official
- Name
- Ms. Dorothy Frazier
- Title
- Program Director
- Phone
- (718) 415-3832
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
20417 Hillside Ave
Suite #309
Hollis, NY 11423-2213
Mailing address
20417 Hillside Ave
Suite #309
Hollis, NY 11423-2213
Phone (718) 415-3832
Other providers in Hollis, NY
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- Stacy Bissesar
- Body by Yashi Gordon RPN PLLC
- Jana Bohorodzaner
- Bissoonlall B Boodhoo
- Jeffrey Andrew Borenstein
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All providers in Hollis, NY · Case Management Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.