Organization
FARMINGVILLE MENTAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HICKMAN (CLINIC ADMINISTRATOR)
(631) 854-2552
Entity
Organization
Contact information
Practice address
15 HORSEBLOCK PL, FARMINGVILLE, NY 11738-1204
(631) 854-2552
Mailing address
15 HORSEBLOCK PL, FARMINGVILLE, NY 11738-1204
(631) 854-2552
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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