| South Beach Addiction Treatment Center | |
|
777 Seaview Avenue Building A South Beach Psychiatric Center Staten Island NY 10305-3499 | |
| (718) 667-5202 | |
| (718) 351-1958 |
| Full Name | South Beach Addiction Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 777 Seaview Avenue, Staten Island, New York |
| Authorized Official Name and Position | Michael A Lawler (ASSOCIATE COMMISIONER DIVISION OF) |
| Authorized Official Contact | 5184575312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Beach Addiction Treatment Center 777 Seaview Avenue Building A South Beach Psychiatric Center Staten Island NY 10305-3499 Ph: (718) 667-5202 | South Beach Addiction Treatment Center 777 Seaview Avenue Building A South Beach Psychiatric Center Staten Island NY 10305-3499 Ph: (718) 667-5202 |
| NPI Number | 1922180363 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922180363 | NPI | - | NPPES |
| 01421636 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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