Community Related Services

NPI #1801078894 in Rego Park, New York

Provider Information

NPI Number
1801078894
Entity Type
Organization
Organization Name
Community Related Services
Primary Specialty
Clinic/Center
Enumeration Date
Nov 30, 2007
Last Updated
Nov 30, 2007

Practice Location

Address
9907 QUEENS BLVD
Address 2
2ND FLOOR
ZIP Code
11374-4512
Phone
(718) 997-1901

Authorized Official

Name
MRS. YELENA MAMEDOVA-BRAZ, M.D.
Title
MEDICAL DIRECTOR
Phone
(718) 997-1901

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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