| United Supports For Autism | |
|
283 Commack Rd. Suite 205 Commack NY 11725-6021 | |
| (516) 848-8551 | |
| Not Available |
| Full Name | United Supports For Autism |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 283 Commack Rd., Commack, New York |
| Authorized Official Name and Position | Brian J Goldberg (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5168488551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Supports For Autism 283 Commack Rd Suite 205 Commack NY 11725-6021 Ph: (516) 848-8551 | United Supports For Autism 283 Commack Rd. Suite 205 Commack NY 11725-6021 Ph: (516) 848-8551 |
| NPI Number | 1124399928 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 01/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124399928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 017826 (New York) | Primary |
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