Organization
PLAINVIEW OLD BETHPAGE YOUTH ACTIVITIES COUNCIL
Active
Other names
Reflection Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE CONWAY (EXECUTIVE DIRECTOR)
(516) 576-3120
Entity
Organization
Contact information
Practice address
202 TERMINAL DR, STE. 3, PLAINVIEW, NY 11803-2318
(516) 576-3120
(516) 576-3446
Mailing address
202 TERMINAL DR, SUITE 3, PLAINVIEW, NY 11803-2318
(516) 576-6120
(516) 576-3446
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
070611542
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02861145
—
NY
Enumeration date
02/08/2011
Last updated
03/02/2011
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