Organization
NYS OMH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA JAPNGIE (ADMINISTRATOR)
(631) 761-2332
Entity
Organization
Contact information
Practice address
998 CROOKED HILL RD, BUILDING 47, WEST BRENTWOOD, NY 11717-1019
(631) 761-2289
Mailing address
998 CROOKED HILL RD, BUILDING 47, WEST BRENTWOOD, NY 11717-1019
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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