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Organization
COLLABORATIVE THERAPY OF LONG ISLAND LLC
Active
Organization
COLLABORATIVE THERAPY OF LONG ISLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBY PATRICK FOSTER LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(631) 493-7600
Entity
Organization
Contact information
Practice address
48 MUNCEY RD, BAY SHORE, NY 11706-5335
(631) 942-0106
Mailing address
48 MUNCEY RD, BAY SHORE, NY 11706-5335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
008421
NY
Other
Enumeration date
02/26/2018
Last updated
05/10/2018
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