| The Jewish Board Suffolk Act Team | |
|
320 Carleton Avenue Central Islip NY 11722-3619 | |
| (212) 582-9100 | |
| Not Available |
| Full Name | The Jewish Board Suffolk Act Team |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 320 Carleton Avenue, Central Islip, New York |
| Authorized Official Name and Position | Ronald Acker (CFO) |
| Authorized Official Contact | 9147337488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Jewish Board Suffolk Act Team 463 7th Ave Fl 18 New York NY 10018-7604 Ph: (212) 582-9100 | The Jewish Board Suffolk Act Team 320 Carleton Avenue Central Islip NY 11722-3619 Ph: (212) 582-9100 |
| NPI Number | 1508244971 |
|---|---|
| Provider Enumeration Date | 05/18/2015 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508244971 | NPI | - | NPPES |
| 6709037A | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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