NPI 1770892853

Early Childhood Intervention Services

Organisation Health Maintenance Organization Jamaica, NY

Practice location

Address: 14483 176th St, Jamaica, NY 11434-4913
Phone: (718) 977-0110

Authorised official

Name: Paula Sims
Title: Director
Phone: (718) 344-4508

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 58014667 (NY)

Other Health Maintenance Organization providers in New York →

Point of Service

Managed Care Organizations Taxonomy 305S00000X Licence 58-017019 (NY)

Other Point of Service providers in New York →

Registry record

NPI: 1770892853
Entity type: Organization
NPI issued: 6 Oct 2010
Record last updated: 6 Oct 2010

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.