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Organization
EATING DISORDER TREATMENT OF NEW YORK, LLC
Active
Organization
EATING DISORDER TREATMENT OF NEW YORK, LLC
Active
Other names
Clementine North Shore
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SCHULZ (CHIEF FINANCIAL OFFICER)
(720) 440-4277
Entity
Organization
Contact information
Practice address
254 BREAD AND CHEESE HOLLOW RD, NORTHPORT, NY 11768-2606
(631) 540-0980
(631) 967-1667
Mailing address
6100 SW 76TH ST, SOUTH MIAMI, FL 33143-5002
(305) 663-1876
(786) 359-4485
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/08/2024
Last updated
06/05/2025
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