| Family And Children's Association | |
|
175 Nassau Rd Roosevelt NY 11575-2016 | |
| (516) 623-1644 | |
| (516) 623-3125 |
| Full Name | Family And Children's Association |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 175 Nassau Rd, Roosevelt, New York |
| Authorized Official Name and Position | Mary Ann Vassallo (CFO) |
| Authorized Official Contact | 5167460350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Children's Association 100 E Old Country Rd Mineola NY 11501-4614 Ph: (516) 746-0350 | Family And Children's Association 175 Nassau Rd Roosevelt NY 11575-2016 Ph: (516) 623-1644 |
| NPI Number | 1952488363 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 05/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952488363 | NPI | - | NPPES |
| 03009065 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 9206009A (New York) | Primary |
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