Lifeline Center for Child Development
NPI #1164033130 in Queens Village, New York
Provider Information
- NPI Number
- 1164033130
- Entity Type
- Organization
- Organization Name
- Lifeline Center for Child Development
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Aug 13, 2020
- Last Updated
- Aug 13, 2020
Practice Location
- Address
- 8009 WINCHESTER BLVD
- City
- Queens Village
- State
- New York
- ZIP Code
- 11427-2198
- Phone
- (631) 495-6486
Authorized Official
- Name
- TANYA SIMON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (631) 495-6486
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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