| Long Island Council On Alcoholism And Drug Dependence | |
|
114 Old Country Rd Suite 114 Mineola NY 11501-4420 | |
| (516) 747-2606 | |
| (516) 747-0714 |
| Full Name | Long Island Council On Alcoholism And Drug Dependence |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 114 Old Country Rd, Mineola, New York |
| Authorized Official Name and Position | Jeffrey L Reynolds (EXECEUTIVE DIRECTOR) |
| Authorized Official Contact | 5167472606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Council On Alcoholism And Drug Dependence 114 Old Country Rd Suite 114 Mineola NY 11501-4420 Ph: (516) 747-2606 | Long Island Council On Alcoholism And Drug Dependence 114 Old Country Rd Suite 114 Mineola NY 11501-4420 Ph: (516) 747-2606 |
| NPI Number | 1689950305 |
|---|---|
| Provider Enumeration Date | 10/26/2011 |
| Last Update Date | 10/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689950305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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