Organization
RISEWELL COMMUNITY SERVICES
Active
Other names
Federation of Organizations for th NYS Mentally Disabled
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MCCARTHY CFO (CHIEF FINANCIAL OFFICER)
(631) 669-5355
Entity
Organization
Contact information
Practice address
3390 ROUTE 112 STE B, MEDFORD, NY 11763
(631) 512-4092
(631) 698-0137
Mailing address
1 ROUTE 109 FARMINGDALE ROAD, WEST BABYLON, NY 11704-6424
(631) 669-5355
(631) 669-1114
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02716952
—
NY
Enumeration date
01/04/2018
Last updated
08/28/2024
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