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Contact Information

QUEENS COGNITIVE BEHAVIORAL THERAPY CENTER
14108 JEWEL AVE
FLUSHING, NY11367-1618
 Phone: 347-815-4228
 Fax: 413-639-4458
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for QUEENS COGNITIVE BEHAVIORAL THERAPY CENTER

NPI Number 1295125110
LBN Legal business name QUEENS COGNITIVE BEHAVIORAL THERAPY CENTER
Authorized official BENJAMIN GRYSMAN - (DIRECTOR, PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2015
Last updated 01/30/2015 - About 11 years ago
Identifiers
NY License # 019732
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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