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Organization

SUFFOLK ICM PROGRAM

Active
Other names
Pilgrim Psychiatric Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH JOHN CASEY BA,BSN,RN (ICM SUPERVISOR)
(631) 761-4181
Entity
Organization

Contact information

Practice address
998 CROOKED HILL RD, BRENTWOOD, NY 11717-1019
(631) 761-4181
Mailing address
998 CROOKED HILL RD, BRENTWOOD, NY 11717-1019
(631) 262-0319

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
283Q00000X
NY
283Q00000X
Psychiatric Hospital

Other

Enumeration date
01/25/2013
Last updated
01/25/2013
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