Southeast Nassau Guidance Center Inc. | |
2146 Jackson Ave Seaford NY 11783-2606 | |
(516) 221-3030 | |
(516) 221-1013 |
Full Name | Southeast Nassau Guidance Center Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2146 Jackson Ave, Seaford, New York |
Authorized Official Name and Position | Rosalia M Mirabella (BILLING MANAGER) |
Authorized Official Contact | 5162213030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southeast Nassau Guidance Center Inc. 2146 Jackson Ave P.o. Box 1037 Seaford NY 11783-2606 Ph: (516) 221-3030 | Southeast Nassau Guidance Center Inc. 2146 Jackson Ave Seaford NY 11783-2606 Ph: (516) 221-3030 |
NPI Number | 1083718779 |
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Provider Enumeration Date | 09/12/2006 |
Last Update Date | 03/23/2022 |
Certification Date | 03/23/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083718779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6801100A (New York) | Primary |
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