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Organization

WOODWARD MENTAL HEALTH CENTER

Active
Other names
Woodward Children's Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL LOMTEVAS (EXECUTIVE DIRECTOR)
(516) 379-0900
Entity
Organization

Contact information

Practice address
201 W MERRICK RD, FREEPORT, NY 11520-3712
(516) 379-0900
(516) 379-0997
Mailing address
201 W MERRICK RD, FREEPORT, NY 11520-3712
(516) 379-0900
(516) 379-0997

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
000129611
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00244913
NY
01
2084P0800X
TAXONOMY CODE
NY
Enumeration date
05/29/2008
Last updated
05/29/2008
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