| Yours Ours Mine Community Ctr | |
|
152 Center Lane Levittown NY 11756 | |
| (516) 796-6633 | |
| (516) 796-6663 |
| Full Name | Yours Ours Mine Community Ctr |
|---|---|
| Speciality | Social Worker |
| Location | 152 Center Lane, Levittown, New York |
| Authorized Official Name and Position | Joseph Randazzo (CONTROLLER) |
| Authorized Official Contact | 5167966633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yours Ours Mine Community Ctr 152 Center Lane Levittown NY 11756 Ph: (516) 796-6633 | Yours Ours Mine Community Ctr 152 Center Lane Levittown NY 11756 Ph: (516) 796-6633 |
| NPI Number | 1255582318 |
|---|---|
| Provider Enumeration Date | 10/08/2008 |
| Last Update Date | 10/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255582318 | NPI | - | NPPES |
| 01097121 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 076924 (New York) | Primary |
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