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ELMCOR YOUTH AND ADULT ACTIVITIES
NPI 1174994305
Substance Abuse Rehabilitation Facility in Corona, NY

Active since October 14, 2015CLIA 33D2159992 · Waiver
10720 NORTHERN BLVD, CORONA, NY 11368(718) 651-0096(718) 457-3932 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elmcor Youth And Adult Activities NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELMCOR YOUTH AND ADULT ACTIVITIES (NPI 1174994305) is a healthcare organization registered as a substance abuse rehabilitation facility in Corona, New York and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Ropo Oyebode, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1174994305
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameELMCOR YOUTH AND ADULT ACTIVITIES
Location Address10720 NORTHERN BLVDCorona, NY 11368-1236
Mailing Address10720 Northern BlvdCorona, NY 11368-1236 · (718) 651-0096 · Fax (718) 457-3932
Phone(718) 651-0096
Fax(718) 457-3932
Organization SubpartNo
Authorized OfficialRopo OyebodeFinance Director · (718) 651-0096
Enumeration DateOctober 14, 2015
✔ NPI 1174994305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in NY · 180711300
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

10720 NORTHERN BLVD, Corona, NY 11368
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2159992

Elmcor Youth And Adult Activities Inc · Corona, NY
Active · expires Mar 26, 2027
CLIA Number33D2159992
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 2, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Stefon Kantrowitz
Laboratory Phone(718) 651-0096
Laboratory LocationElmcor Youth And Adult Activities Inc107-20 Northern Blvd, Corona, NY 11368
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL QUINONES
Counselor (Addiction (Substance Use Disorder))
10720 NORTHERN BLVD
CORONA, NY 11368
Queens County (718) 651-0096
KAREN HUEZO
Counselor (Addiction (Substance Use Disorder))
10720 NORTHERN BLVD
CORONA, NY 11368
Queens County (718) 651-0096
FAY KENDALL
Counselor (Addiction (Substance Use Disorder))
10720 NORTHERN BLVD
CORONA, NY 11368
Queens County (718) 651-0096
JANET VASQUEZ
Counselor (Addiction (Substance Use Disorder))
10720 NORTHERN BLVD
CORONA, NY 11368
Queens County (718) 651-0096
MISS OLGA TREGUBOFF
Counselor (Addiction (Substance Use Disorder))
10720 NORTHERN BLVD
CORONA, NY 11368
Queens County (718) 651-0096
GREG CORLEY
Social Worker
10720 NORTHERN BLVD
CORONA, NY 11368
Queens County (718) 651-0096
MARIA RAMIREZ
Counselor (Addiction (Substance Use Disorder))
10720 NORTHERN BLVD
CORONA, NY 11368
Queens County (718) 651-0096
ELMCOR YOUTH & ADULT ACTIVITIES INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
10720 NORTHERN BLVD
CORONA, NY 11368
Queens County (718) 651-0096

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elmcor Youth And Adult Activities's NPI number?

The NPI number for Elmcor Youth And Adult Activities is 1174994305. It was assigned to this organization in the NPPES registry on October 14, 2015.

Where is Elmcor Youth And Adult Activities located?

Elmcor Youth And Adult Activities is located at 10720 Northern Blvd, Corona, NY 11368. The listed phone number is (718) 651-0096.

What is Elmcor Youth And Adult Activities's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Elmcor Youth And Adult Activities hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2159992) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elmcor Youth And Adult Activities was last updated on October 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.