Organization
PILGRIM PSYCHIATRIC CENTER
Active
Other names
Intensive Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
GALAL ALZOKM (INTENSIVE CASE MANAGER)
(631) 761-4154
Entity
Organization
Contact information
Practice address
175 FULTON AVE, HEMPSTEAD, NY 11550-3150
(516) 505-2003
Mailing address
175 FULTON AVE, HEMPSTEAD, NY 11550-3150
(516) 505-2003
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
146013200
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146013200
—
NY
Enumeration date
03/29/2013
Last updated
03/29/2013
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