| The Safe Center Li Inc | |
|
15 Grumman Rd W Ste 1000 Bethpage NY 11714-5028 | |
| (516) 465-4700 | |
| Not Available |
| Full Name | The Safe Center Li Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Grumman Rd W, Bethpage, New York |
| Authorized Official Name and Position | Joshua Hanson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5164654700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Safe Center Li Inc 15 Grumman Rd W Ste 1000 Bethpage NY 11714-5028 Ph: (516) 465-4700 | The Safe Center Li Inc 15 Grumman Rd W Ste 1000 Bethpage NY 11714-5028 Ph: (516) 465-4700 |
| NPI Number | 1033810841 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 02/09/2024 |
| Medicare PECOS PAC ID | 9133564289 |
|---|---|
| Medicare Enrollment ID | O20240228001589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033810841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Alberta Rubin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033801758 PECOS PAC ID: 3476992025 Enrollment ID: I20240416003033 |
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