Organization
NYS OFFICE OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE C MARSEILLE (PHARMACIST)
(631) 761-2737
Entity
Organization
Contact information
Practice address
305 PLYMOUTH CT, UNIONDALE, NY 11553-1930
(516) 483-6479
Mailing address
305 PLYMOUTH CT, UNIONDALE, NY 11553-1930
(516) 483-6479
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
040358-1
NY
Other
Enumeration date
03/12/2013
Last updated
04/03/2013
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