Organization
CS MEDICAL ASSOCIATES, P.C.
Active
Organization
CS MEDICAL ASSOCIATES, P.C.
Active
Other names
Victory Recovery Partners
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY WALLACE (VP OPERATIONS)
(631) 696-4357
Entity
Organization
Contact information
Practice address
250 FULTON AVE STE 607, HEMPSTEAD, NY 11550-3901
(631) 696-4357
Mailing address
100 GRANNY RD, FARMINGVILLE, NY 11738-2879
(631) 696-4357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05150629
—
NY
Enumeration date
05/26/2022
Last updated
05/26/2022
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