Organization
TOWN OF ISLIP
Active
Other names
Dept of Human Development - TASA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HANK BRAND (DIRECTOR)
(631) 224-5325
Entity
Organization
Contact information
Practice address
401 MAIN ST, ROOM #106, ISLIP, NY 11751-3560
(631) 224-5325
(631) 224-5316
Mailing address
401 MAIN ST, ROOM #106, ISLIP, NY 11751-3560
(631) 224-5325
(631) 224-5316
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01078748
—
NY
Enumeration date
05/17/2007
Last updated
08/22/2020
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