| Family Mental Health | |
|
126 E Park Ave Long Beach NY 11561-3510 | |
| (516) 321-0966 | |
| Not Available |
| Full Name | Family Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 126 E Park Ave, Long Beach, New York |
| Authorized Official Name and Position | Diane Catherine Defilippo (NURSE PRACTITIONER PSYCHIATRY) |
| Authorized Official Contact | 5163210966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Mental Health 536 W Market St Long Beach NY 11561-1717 Ph: (516) 448-5293 | Family Mental Health 126 E Park Ave Long Beach NY 11561-3510 Ph: (516) 321-0966 |
| NPI Number | 1629471529 |
|---|---|
| Provider Enumeration Date | 10/06/2014 |
| Last Update Date | 10/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629471529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | F 401781 (New York) | Primary |
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