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Organization
NORTH SHORE CHILD AND FAMILY GUIDANCE ASSOCIATION INCORPORATED
Active
Organization
NORTH SHORE CHILD AND FAMILY GUIDANCE ASSOCIATION INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREW MALEKOFF LCSW (CEO & EXECUTIVE DIRECTOR)
(516) 626-1971
Entity
Organization
Contact information
Practice address
480 OLD WESTBURY ROAD, ROSLYN HEIGHTS, NY 11577
(516) 626-1971
(516) 625-5647
Mailing address
480 OLD WESTBURY ROAD, ROSLYN HEIGHTS, NY 11577
(516) 626-1971
(516) 625-5647
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
6795120A
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
6795122A
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
6795123A
NY
261QM1300X
Multi-Specialty Clinic/Center
080211497
NY
Other
Enumeration date
12/19/2006
Last updated
01/02/2020
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