Provider Demographics
NPI:1235000175
Name:CATHOLIC CHARITIES BROOKLYN AND QUEENS
Entity type:Organization
Organization Name:CATHOLIC CHARITIES BROOKLYN AND QUEENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BENEFITS COUNSULAR
Authorized Official - Prefix:
Authorized Official - First Name:PARRIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-527-8191
Mailing Address - Street 1:9114 MERRICK BLVD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-5363
Mailing Address - Country:US
Mailing Address - Phone:929-527-8191
Mailing Address - Fax:718-943-7484
Practice Address - Street 1:9114 MERRICK BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5363
Practice Address - Country:US
Practice Address - Phone:929-527-8191
Practice Address - Fax:718-943-7484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty