| Beacon | |
|
1441 Old Northern Blvd Roslyn NY 11576-2146 | |
| (516) 632-1105 | |
| Not Available |
| Full Name | Beacon |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1441 Old Northern Blvd, Roslyn, New York |
| Authorized Official Name and Position | Jacqueline Pedro (SCHOOL PSYCHOLOGIST) |
| Authorized Official Contact | 5169871272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon 180 Grange St Franklin Square NY 11010-4202 Ph: () - | Beacon 1441 Old Northern Blvd Roslyn NY 11576-2146 Ph: (516) 632-1105 |
| NPI Number | 1154620854 |
|---|---|
| Provider Enumeration Date | 03/21/2011 |
| Last Update Date | 03/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154620854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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