| Maryhaven Center Of Hope Inc. | |
|
2957 Burns Avenue Wantagh NY 11793 | |
| (516) 783-3410 | |
| (516) 826-7688 |
| Full Name | Maryhaven Center Of Hope Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2957 Burns Avenue, Wantagh, New York |
| Authorized Official Name and Position | Laura Pepper (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 6314744120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryhaven Center Of Hope Inc. 51 Terryville Road Port Jefferson Station NY 11776 Ph: (631) 474-4120 | Maryhaven Center Of Hope Inc. 2957 Burns Avenue Wantagh NY 11793 Ph: (516) 783-3410 |
| NPI Number | 1003146119 |
|---|---|
| Provider Enumeration Date | 01/12/2010 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003146119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6825011 (New York) | Primary |
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