Organization
SANCTUARY EAST LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERRY GALLAGHER (DIRECTOR)
(631) 224-7700
Entity
Organization
Contact information
Practice address
2 WILLIAM AVE, EAST ISLIP, NY 11730-2330
(631) 224-7700
Mailing address
2 WILLIAM AVE, EAST ISLIP, NY 11730-2330
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
F400086-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400086-1
LICENSE NUMBER
NY
Enumeration date
06/16/2006
Last updated
07/21/2022
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