Organization
SOUTH BEACH PSYCHIATRIC CENTER
Active
Parent organization
NYS OFFICE OF MENTAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
NYS OFFICE OF MENTAL HEALTH
Authorized official
ROBERT PUCCIO (DIRECTOR, FINANCE)
(518) 473-0795
Entity
Organization
Contact information
Practice address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 667-2300
Mailing address
44 HOLLAND AVE, ALBANY, NY 12229-0001
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01618799
—
NY
Enumeration date
01/03/2007
Last updated
08/01/2008
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