Organization
SCO FAMILY OF SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA SMITH MBA (DIRECTOR OF MANAGED CARE)
(516) 532-5422
Entity
Organization
Contact information
Practice address
1415 KELLUM PL STE 140, GARDEN CITY, NY 11530-1604
(516) 759-1844
Mailing address
1415 KELLUM PL STE 140, GARDEN CITY, NY 11530-1604
(516) 759-1844
(516) 759-6921
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01405774
—
NY
Enumeration date
02/06/2009
Last updated
12/17/2025
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