| Chemical Dependency Ctr East | |
|
550 Montauk Highway Shirley NY 11967-2114 | |
| (631) 490-3040 | |
| (631) 395-6340 |
| Full Name | Chemical Dependency Ctr East |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 550 Montauk Highway, Shirley, New York |
| Authorized Official Name and Position | Marc J Adler (SR. VP & CHIEF OF HOSP OPERATIONS) |
| Authorized Official Contact | 5165929098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chemical Dependency Ctr East 101 Hospital Road Patchogue NY 11772-4870 Ph: (631) 654-7100 | Chemical Dependency Ctr East 550 Montauk Highway Shirley NY 11967-2114 Ph: (631) 490-3040 |
| NPI Number | 1902029796 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 03/15/2024 |
| Certification Date | 03/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902029796 | NPI | - | NPPES |
| 00245529 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Cs Medical Associates, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Coraci Blvd Ste 15, Shirley, NY 11967 Phone: 631-696-4357 Fax: 631-846-8138 | |
Michael Ash Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1273 William Floyd Pkwy, Shirley, NY 11967 Phone: 646-261-3215 |