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Organization

MILITARY COMMUNITY RESOURCE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON GINGOLA M.A (EXECUTIVE DIRECTOR)
(631) 831-2271
Entity
Organization

Contact information

Practice address
38 OAK ST, SUITE #1, PATCHOGUE, NY 11772-2883
(631) 569-5811
Mailing address
38 OAK ST, SUITE #1, PATCHOGUE, NY 11772-2883
(631) 569-5811

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NY

Other

Enumeration date
04/09/2011
Last updated
04/09/2011
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