ILA DEBRA CHRISTMAS


Address: 67-29 Myrtle Avenue, Glendale, NY 11385
Phone: 7184567001

ILA DEBRA CHRISTMAS (NPI# 1295393296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295393296
Entity Type Individual
Full Name ILA DEBRA CHRISTMAS
Credential MSW
Practice Address 67-29 Myrtle Avenue
Glendale
NY 11385
Mailing Address 3054 Fulton St Apt 1r
Brooklyn
NY 11208-1148
Practice Telephone 7184567001
Practice Fax Number 7184569470
Mailing Telephone 5168305268
Enumeration Date 2019-06-04
Last Update Date 2019-06-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 67-29 MYRTLE AVENUE
City GLENDALE
State NY
Zip Code 11385

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1588183339 Geri P Services Inc. Early Intervention Provider Agency 5938 Gates Ave, Ridgewood, NY 11385 2017-09-13
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Competitor

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City GLENDALE
Zip Code 11385

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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