| Advisory Council For The Youth Of Mineola, Inc. | |
|
450 Jericho Tpke Suite 207 Mineola NY 11501-1135 | |
| (516) 742-1715 | |
| (516) 747-5690 |
| Full Name | Advisory Council For The Youth Of Mineola, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 450 Jericho Tpke, Mineola, New York |
| Authorized Official Name and Position | Cristina J Balbo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5167421715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advisory Council For The Youth Of Mineola, Inc. 450 Jericho Tpke Suite 207 Mineola NY 11501-1135 Ph: (516) 742-1715 | Advisory Council For The Youth Of Mineola, Inc. 450 Jericho Tpke Suite 207 Mineola NY 11501-1135 Ph: (516) 742-1715 |
| NPI Number | 1043504723 |
|---|---|
| Provider Enumeration Date | 05/31/2011 |
| Last Update Date | 05/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043504723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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