# NORTH SHORE CHILD AND FAMILY GUIDANCE ASSOCIATION INCORPORATED

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

## Provider details

- **NPI number:** 1508929621
- **Authorized official:** MS. ANDREW MALEKOFF LCSW (CEO & EXECUTIVE DIRECTOR)
- **Authorized official phone:** (516) 626-1971

## Contact information

- **Practice address:** 480 OLD WESTBURY ROAD, ROSLYN HEIGHTS, NY 11577
- **Practice address phone:** (516) 626-1971
- **Practice address fax:** (516) 625-5647
- **Mailing address:** 480 OLD WESTBURY ROAD, ROSLYN HEIGHTS, NY 11577
- **Mailing address phone:** (516) 626-1971
- **Mailing address fax:** (516) 625-5647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 6795120A | NY | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 6795122A | NY | Yes |
| 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