Doctor Name: | MRS. COCO MENG |
NPI Number: | 1003953845 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | |
Business Practice Address: | 14015b Sanford Ave Flushing, NY - 113552557 |
Business Phone Number: | 7183588288 |
Business Fax Number: | 7187133476 |
Mailing Address: | 6443 229th St, OAKLAND GARDENS |
State: | NY |
Postal Code: | 113642711 |
Phone Number: | 7182799142 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 11/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |