Organization
MID- ISLAND Y JCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK LEWIS (CEO)
(516) 822-3535
Entity
Organization
Contact information
Practice address
45 MANETTO HILL RD, PLAINVIEW, NY 11803-1325
(516) 822-3535
Mailing address
45 MANETTO HILL RD, PLAINVIEW, NY 11803-1325
(516) 822-3535
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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