Organization
THE LONG ISLAND HOME
Active
Other names
South Oaks Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE L CUSACK (SENIOR VICE PRESIDENT & CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 264-4000
(631) 396-0025
Mailing address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 264-4000
(631) 396-0025
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00274391
—
NY
Enumeration date
09/27/2005
Last updated
06/27/2022
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