| Long Island Fqhc, Inc. | |
|
16 Main St Hempstead NY 11550-4020 | |
| (516) 481-1346 | |
| Not Available |
| Full Name | Long Island Fqhc, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 16 Main St, Hempstead, New York |
| Authorized Official Name and Position | David Nemiroff (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5165718600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Fqhc, Inc. 16 Main St Hempstead NY 11550-4020 Ph: (516) 481-1346 | Long Island Fqhc, Inc. 16 Main St Hempstead NY 11550-4020 Ph: (516) 481-1346 |
| NPI Number | 1023474996 |
|---|---|
| Provider Enumeration Date | 01/08/2016 |
| Last Update Date | 08/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023474996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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