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Organization
LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH
Active
Organization
LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH
Active
Parent organization
LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH
Other names
Chemical Dependency Ctr East
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH
Authorized official
MARC J ADLER (SR. VP & CHIEF OF HOSP OPERATIONS)
(516) 592-9098
Entity
Organization
Contact information
Practice address
550 MONTAUK HIGHWAY, SHIRLEY, NY 11967-2114
(631) 490-3040
(631) 395-6340
Mailing address
101 HOSPITAL ROAD, PATCHOGUE, NY 11772-4870
(631) 654-7100
(516) 333-1075
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245529
—
NY
Enumeration date
04/10/2007
Last updated
03/15/2024
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