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Organization

LONG ISLAND FQHC, INC.

Active
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Organization

LONG ISLAND FQHC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID NEIMIROFF LCSW (PRESIDENT, CEO)
(516) 546-4198
Entity
Organization

Contact information

Practice address
820 FRONT ST, HEMPSTEAD, NY 11550-4627
(516) 572-1300
Mailing address
1600 STEWART AVE STE 300, WESTBURY, NY 11590-6611
(516) 396-0187
(516) 396-0302

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
10/19/2018
Last updated
10/19/2018
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