Suffolk County Dual Recovery Program | |
15 Horseblock Pl Farmingville NY 11738-1204 | |
(631) 854-2571 | |
Not Available |
Full Name | Suffolk County Dual Recovery Program |
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Speciality | Community/behavioral Health |
Location | 15 Horseblock Pl, Farmingville, New York |
Authorized Official Name and Position | John Hickman (PROGRAM DIRECTOR) |
Authorized Official Contact | 6318542571 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Suffolk County Dual Recovery Program 15 Horseblock Pl Farmingville NY 11738-1204 Ph: () - | Suffolk County Dual Recovery Program 15 Horseblock Pl Farmingville NY 11738-1204 Ph: (631) 854-2571 |
NPI Number | 1477749612 |
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Provider Enumeration Date | 09/21/2007 |
Last Update Date | 09/21/2007 |
Identifier | Type | State | Issuer |
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1477749612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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