| Peninsula Counseling Center Inc | |
|
124 Franklin Place Woodmere NY 11598 | |
| (516) 569-6600 | |
| (516) 374-2261 |
| Full Name | Peninsula Counseling Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 124 Franklin Place, Woodmere, New York |
| Authorized Official Name and Position | Herbert E Ruben (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5165696600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Counseling Center Inc 124 Franklin Place Woodmere NY 11598 Ph: (516) 569-6600 | Peninsula Counseling Center Inc 124 Franklin Place Woodmere NY 11598 Ph: (516) 569-6600 |
| NPI Number | 1386795987 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386795987 | NPI | - | NPPES |
| 00246817 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6797100ANY (New York) | Primary |
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