| Mid- Island Y Jcc | |
|
45 Manetto Hill Rd Plainview NY 11803-1325 | |
| (516) 822-3535 | |
| Not Available |
| Full Name | Mid- Island Y Jcc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 45 Manetto Hill Rd, Plainview, New York |
| Authorized Official Name and Position | Rick Lewis (CEO) |
| Authorized Official Contact | 5168223535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid- Island Y Jcc 45 Manetto Hill Rd Plainview NY 11803-1325 Ph: (516) 822-3535 | Mid- Island Y Jcc 45 Manetto Hill Rd Plainview NY 11803-1325 Ph: (516) 822-3535 |
| NPI Number | 1154863280 |
|---|---|
| Provider Enumeration Date | 11/07/2016 |
| Last Update Date | 11/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154863280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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