| Family Service League, Inc. | |
|
1444 5th Ave Bay Shore NY 11706-4147 | |
| (631) 647-3100 | |
| Not Available |
| Full Name | Family Service League, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1444 5th Ave, Bay Shore, New York |
| Authorized Official Name and Position | Ja'net Burns (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6154855688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service League, Inc. 790 Park Ave Huntington NY 11743-4516 Ph: (631) 427-3700 | Family Service League, Inc. 1444 5th Ave Bay Shore NY 11706-4147 Ph: (631) 647-3100 |
| NPI Number | 1730349556 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 07/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730349556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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