| Project Real | |
|
55 N Ocean Ave 2nd Floor Freeport NY 11520 | |
| (516) 223-9570 | |
| (516) 223-8076 |
| Full Name | Project Real |
|---|---|
| Speciality | Counselor - Professional |
| Location | 55 N Ocean Ave, Freeport, New York |
| Authorized Official Name and Position | Kathleen M Malizia (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5162239570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Real 55 N Ocean Ave 2nd Floor Freeport NY 11520 Ph: (516) 223-9570 | Project Real 55 N Ocean Ave 2nd Floor Freeport NY 11520 Ph: (516) 223-9570 |
| NPI Number | 1932230026 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932230026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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