Organization · NPI-2

A Friendly Face Akademy Corp.

Clinic/Center · Staten Island, NY

NPI number1720570187
StatusActive
Last updated in NPPESJun 14, 2023

Details

NPI
1720570187
Entity type
Organization (NPI-2)
Legal business name
A Friendly Face Akademy Corp.
Organization subpart
No
Enumeration date
Jun 1, 2018
Certification date
Jun 14, 2023
Last updated
Jun 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1887 Richmond Ave Ste 5
Staten Island, NY 10314-3923

Phone 718-698-1300

Mailing address

460 Midland Ave
Staten Island, NY 10306-5104

Phone 718-667-7770

Authorized official

Ella Goldin
Cfo
7186981300

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