| Freeport Pride, Inc. | |
|
33 Guy Lombardo Ave Freeport NY 11520-3604 | |
| (516) 546-2822 | |
| (516) 546-5051 |
| Full Name | Freeport Pride, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 33 Guy Lombardo Ave, Freeport, New York |
| Authorized Official Name and Position | Tedd Levy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5163781111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freeport Pride, Inc. 33 Guy Lombardo Ave Freeport NY 11520-3604 Ph: (516) 546-2822 | Freeport Pride, Inc. 33 Guy Lombardo Ave Freeport NY 11520-3604 Ph: (516) 546-2822 |
| NPI Number | 1609047984 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 03/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609047984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | R032151-1 (New York) | Primary |
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