Organization
COLLABORATIVE THERAPY OF LONG ISLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBY PATRICK FOSTER LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(631) 493-7600
Entity
Organization
Contact information
Practice address
48 MUNCEY RD, BAY SHORE, NY 11706-5335
(631) 942-0106
Mailing address
48 MUNCEY RD, BAY SHORE, NY 11706-5335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
008421
NY
Other
Enumeration date
02/26/2018
Last updated
05/10/2018
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