West Islip Youth Enrichment Services Incorporated | |
401 Main St Suite #108 Islip NY 11751-3560 | |
(631) 446-1950 | |
(631) 446-1952 |
Full Name | West Islip Youth Enrichment Services Incorporated |
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Speciality | Community/behavioral Health |
Location | 401 Main St, Islip, New York |
Authorized Official Name and Position | Maryann Pfeiffer (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6315875172 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Islip Youth Enrichment Services Incorporated Po Box 105 West Islip NY 11795-0105 Ph: (631) 587-5172 | West Islip Youth Enrichment Services Incorporated 401 Main St Suite #108 Islip NY 11751-3560 Ph: (631) 446-1950 |
NPI Number | 1306260096 |
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Provider Enumeration Date | 02/14/2014 |
Last Update Date | 05/26/2023 |
Certification Date | 05/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306260096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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