# NYS OFFICE OF MENTAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164763348
- **Authorized official:** MRS. MARIE C MARSEILLE (PHARMACIST)
- **Authorized official phone:** (631) 761-2737

## Contact information

- **Practice address:** 305 PLYMOUTH CT, UNIONDALE, NY 11553-1930
- **Practice address phone:** (516) 483-6479
- **Mailing address:** 305 PLYMOUTH CT, UNIONDALE, NY 11553-1930
- **Mailing address phone:** (516) 483-6479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 040358-1 | NY | Yes |

## Other

- **Enumeration date:** 03/12/2013
- **Last updated:** 04/03/2013