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
16 MAIN ST, HEMPSTEAD, NY 11550-4020
(516) 481-1346
Mailing address
16 MAIN ST, HEMPSTEAD, NY 11550-4020
(516) 481-1346
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
08/07/2017
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