Organization
RISEWELL COMMUNITY SERVICES
Active
Other names
Federation of Organization for the New York State Mentally Disabled, I, Federations of Organizations for th NYS Mentally Disabled
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN MCCARTHY CFO (CHIEF FINANCIAL OFFICER)
(631) 669-5355
Entity
Organization
Contact information
Practice address
11606 MYRTLE AVE, RICHMOND HILL, NY 11418-1748
(718) 850-7099
(718) 850-9361
Mailing address
1 FARMINGDALE ROAD/ROUTE 109, WEST BABYLON, NY 11704-6545
(631) 669-5355
(631) 669-1114
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
05/10/2016
Last updated
08/28/2024
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