Organization
BETHPAGE ADOLESCENT DEVELOPMENT ASSOCIATION INC
Active
Other names
People Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
FRED LIPPMAN LCSW (EXECUTIVE DIRECTOR)
(516) 433-5344
Entity
Organization
Contact information
Practice address
936 STEWART AVE, BETHPAGE, NY 11714
(516) 433-5344
(516) 433-5067
Mailing address
936 STEWART AVE, BETHPAGE, NY 11714
(516) 433-5344
(516) 433-5067
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
OASASCO70611506
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2452459
—
NY
Enumeration date
06/21/2007
Last updated
08/22/2020
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