Organization
FEDERATION OF ORGANIZATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEEANN PICCOLA (TEAM LEADER)
(631) 669-5355
Entity
Organization
Contact information
Practice address
1 FARMINGDALE RD, WEST BABYLON, NY 11704-6207
(631) 669-5355
(631) 669-1517
Mailing address
1 FARMINGDALE RD, WEST BABYLON, NY 11704-6207
(631) 669-5355
(631) 669-1517
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
500751
NY
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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