Colonial Youth & Family Services | |
1235 Montauk Highway Mastic NY 11950 | |
(631) 284-4461 | |
(631) 281-4258 |
Full Name | Colonial Youth & Family Services |
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Speciality | Community/behavioral Health |
Location | 1235 Montauk Highway, Mastic, New York |
Authorized Official Name and Position | Diane Friedman (CLINICAL SOCIAL WORK) |
Authorized Official Contact | 6319213505 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Colonial Youth & Family Services Po Box 391 Mastic Beach NY 11951 Ph: (631) 281-4461 | Colonial Youth & Family Services 1235 Montauk Highway Mastic NY 11950 Ph: (631) 284-4461 |
NPI Number | 1972853547 |
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Provider Enumeration Date | 09/11/2012 |
Last Update Date | 09/11/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972853547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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