Interline Eap

LBN: Interline Eap
Interline Eap is an health care organization with primary practice located at 14839 Hillside Ave , Jamaica NY 11435-3330. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Interline Eap can be contacted via phone (718) 206-1368, or through Mirando, Rosanne M via phone (717) 206-1368.

Contact Information

Primary practice address
14839 Hillside Ave Jamaica NY 11435-3330
Phone: (718) 206-1368
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mirando, Rosanne M
Phone: (717) 206-1368

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 01756972 New York

Profile Details

NPI number 1003030644
LBN Legal business name Interline Eap
DBA Doing business as
Authorized official Mirando, Rosanne M
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2007
Last updated Oct 20th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003030644 NPPES
New York MEDICAID 01756972

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