Organization
FREEPORT PRIDE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TEDD LEVY MSW (EXECUTIVE DIRECTOR)
(516) 378-1111
Entity
Organization
Contact information
Practice address
33 GUY LOMBARDO AVE, FREEPORT, NY 11520-3604
(516) 546-2822
(516) 546-5051
Mailing address
33 GUY LOMBARDO AVE, FREEPORT, NY 11520-3604
(516) 546-2822
(516) 546-5051
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R032151-1
NY
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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