Family Service League | |
790 Park Ave Huntington NY 11743-4516 | |
(631) 427-3700 | |
(631) 427-0232 |
Full Name | Family Service League |
---|---|
Speciality | Community/behavioral Health |
Location | 790 Park Ave, Huntington, New York |
Authorized Official Name and Position | Valerie Brunner (LMSW) |
Authorized Official Contact | 6314273700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Service League 790 Park Ave Huntington NY 11743-4516 Ph: (631) 427-3700 | Family Service League 790 Park Ave Huntington NY 11743-4516 Ph: (631) 427-3700 |
NPI Number | 1265767123 |
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Provider Enumeration Date | 10/12/2009 |
Last Update Date | 10/12/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265767123 | NPI | - | NPPES |
072457-1 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 072457-1 (New York) | Primary |
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