| Risewell Community Services | |
|
32 Beach St Massapequa NY 11758-6801 | |
| (516) 798-5349 | |
| (576) 799-6912 |
| Full Name | Risewell Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 32 Beach St, Massapequa, New York |
| Authorized Official Name and Position | Stephen Mccarthy (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6316695355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Risewell Community Services 1 Farmingdale Road Route 109 West Babylon NY 11704-6545 Ph: (631) 669-5355 | Risewell Community Services 32 Beach St Massapequa NY 11758-6801 Ph: (516) 798-5349 |
| NPI Number | 1184783821 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184783821 | NPI | - | NPPES |
| 03007729 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 03007729 (New York) | Primary |
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