Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

214-18 Hillside Ave

Organization Counselor · NPI 1063858991

214-18 Hillside Ave is a Counselor in Queens Village, New York. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
9

Practice location Address checks out

21418 Hillside Ave
Queens Village, NY 11427-1808
Phone: (646) 331-7345
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Counselor Taxonomy 101Y00000X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Physical Therapist Taxonomy 225100000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist Taxonomy 225500000X
Occupational Therapist Taxonomy 225X00000X
Certified Respiratory Therapist Taxonomy 227800000X

Record details

NPI number1063858991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gracemon Kuriakose — Ceo · (646) 331-7345
NPI enumeratedMay 19, 2013
Last updated in NPPESMay 19, 2013
Mailing address21418 Hillside Ave, Queens Village, NY 11427-1808

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