Provider Demographics
NPI:1144626748
Name:CATHOLIC CHARITIES OF BROOKLYN AND QUEENS
Entity type:Organization
Organization Name:CATHOLIC CHARITIES OF BROOKLYN AND QUEENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:RONIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEMI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-779-1831
Mailing Address - Street 1:9114 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-7920
Mailing Address - Country:US
Mailing Address - Phone:718-779-1831
Mailing Address - Fax:347-512-4150
Practice Address - Street 1:9114 37TH AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7920
Practice Address - Country:US
Practice Address - Phone:718-779-1831
Practice Address - Fax:347-512-4150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-08
Last Update Date:2014-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty