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Organization
SELFHELP LHCSA LONG ISLAND
Active
Organization
SELFHELP LHCSA LONG ISLAND
Active
Parent organization
SELFHELP COMMUNITY SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELFHELP COMMUNITY SERVICES, INC.
Authorized official
MR. RUSSELL LUSAK (VICE PRESIDENT, ADMINISTRATION)
(212) 971-7707
Entity
Organization
Contact information
Practice address
50 CLINTON ST, HEMPSTEAD, NY 11550-4281
(516) 505-2571
Mailing address
520 8TH AVE, NEW YORK, NY 10018-6507
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0308L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00974438
—
NY
Enumeration date
10/27/2011
Last updated
10/27/2011
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