| Southeast Nassau Guidance Center Inc. | |
|
3375 Park Ave Wantagh NY 11793-3733 | |
| (516) 781-1911 | |
| (516) 781-1173 |
| Full Name | Southeast Nassau Guidance Center Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3375 Park Ave, Wantagh, New York |
| Authorized Official Name and Position | Rosalia M Mirabella (BILLING MANAGER) |
| Authorized Official Contact | 5162213030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Nassau Guidance Center Inc. 3375 Park Ave Wantagh NY 11793-3733 Ph: (516) 781-1911 | Southeast Nassau Guidance Center Inc. 3375 Park Ave Wantagh NY 11793-3733 Ph: (516) 781-1911 |
| NPI Number | 1124131461 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124131461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 110510994 (New York) | Primary |
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