| Intensive Case Management | |
|
175 Fulton Ave Hempstead NY 11550-3150 | |
| (516) 505-2003 | |
| Not Available |
| Full Name | Intensive Case Management |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 175 Fulton Ave, Hempstead, New York |
| Authorized Official Name and Position | Galal Alzokm (INTENSIVE CASE MANAGER) |
| Authorized Official Contact | 6317614154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intensive Case Management 175 Fulton Ave Hempstead NY 11550-3150 Ph: (516) 505-2003 | Intensive Case Management 175 Fulton Ave Hempstead NY 11550-3150 Ph: (516) 505-2003 |
| NPI Number | 1588907455 |
|---|---|
| Provider Enumeration Date | 03/29/2013 |
| Last Update Date | 03/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588907455 | NPI | - | NPPES |
| 146013200 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 146013200 (New York) | Primary |
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