| Rlsewell Community Services | |
|
240a Long Island Ave Wyandanch NY 11798-3123 | |
| (631) 782-6200 | |
| (631) 491-5354 |
| Full Name | Rlsewell Community Services |
|---|---|
| Speciality | Clinic/center |
| Location | 240a Long Island Ave, Wyandanch, New York |
| Authorized Official Name and Position | Stephen Mccarthy (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6316695355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rlsewell Community Services 1 Farmingdale Road Route 109 West Babylon NY 11704 Ph: (631) 669-5355 | Rlsewell Community Services 240a Long Island Ave Wyandanch NY 11798-3123 Ph: (631) 782-6200 |
| NPI Number | 1275927600 |
|---|---|
| Provider Enumeration Date | 03/24/2015 |
| Last Update Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275927600 | NPI | - | NPPES |
| WEY681 | Other | NY | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (New York) | Primary |
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