| Long Island Fqhc, Inc. | |
|
950 S Oyster Bay Rd Hicksville NY 11801-3510 | |
| (516) 822-6111 | |
| Not Available |
| Full Name | Long Island Fqhc, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 950 S Oyster Bay Rd, Hicksville, New York |
| Authorized Official Name and Position | David Nemiroff (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5165718600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Fqhc, Inc. 950 S Oyster Bay Rd Hicksville NY 11801-3510 Ph: (516) 822-6111 | Long Island Fqhc, Inc. 950 S Oyster Bay Rd Hicksville NY 11801-3510 Ph: (516) 822-6111 |
| NPI Number | 1700242823 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 01/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700242823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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