Camelot Of Staten Island INC.
Clinic/Center in Jamaica, NY. Organization (NPI-2).
NPI number1699047548
StatusActive
Last updated in NPPESFeb 7, 2012
Details
- NPI
- 1699047548
- Entity type
- Organization (NPI-2)
- Legal business name
- Camelot Of Staten Island INC.
- Organization subpart
- No
- Enumeration date
- Feb 7, 2012
- Last updated
- Feb 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Camelot Counseling (Doing Business As)
Practice location
17515 Rockaway BlvdJamaica, NY 11434-5503
Phone 718-632-3275 · Fax 718-632-7952
Mailing address
17515 Rockaway BlvdJamaica, NY 11434-5503
Phone 718-632-3275 · Fax 718-632-7952
Authorized official
Luke Nasta
Executive Director
7189818117
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