Organization
LONG BEACH REACH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SMITH (DIRECTOR)
(516) 889-2332
Entity
Organization
Contact information
Practice address
2-12 WEST PARK AVE., LONG BEACH, NY 11561
(516) 889-2332
(516) 889-2399
Mailing address
2-12 WEST PARK AVE., SUITE 200, LONG BEACH, NY 11561
(516) 889-2332
(516) 889-2399
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01764850
—
NY
Enumeration date
03/14/2007
Last updated
08/22/2020
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