NPI 1003030644
Interline Eap
Practice location
- Address
- 14839 Hillside Ave, Jamaica, NY 11435-3330
- Phone
- (718) 206-1368
Authorised official
- Name
- Rosanne M Mirando
- Title
- Medical Biller
- Phone
- (717) 206-1368
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003030644
- Entity type
- Organization
- NPI issued
- 13 Apr 2007
- Record last updated
- 20 Oct 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.