Organization
NORTH SHORE CHILD AND FAMILY GUIDANCE ASSOCIATION INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREW MALEKOFF LCSW (CEO & EXECUTIVE DIRECTOR)
(516) 626-1971
Entity
Organization
Contact information
Practice address
480 OLD WESTBURY ROAD, ROSLYN HEIGHTS, NY 11577
(516) 626-1971
(516) 625-5647
Mailing address
480 OLD WESTBURY ROAD, ROSLYN HEIGHTS, NY 11577
(516) 626-1971
(516) 625-5647
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
6795120A
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
6795122A
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
6795123A
NY
261QM1300X
Multi-Specialty Clinic/Center
080211497
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995935
—
NY
Enumeration date
12/19/2006
Last updated
01/02/2020
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