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Organization
LONG ISLAND FQHC, INC.
Active
Organization
LONG ISLAND FQHC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NEMIROFF (EXECUTIVE DIRECTOR)
(516) 571-8600
Entity
Organization
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 822-6111
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 822-6111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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