Organization
FAMILY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE CATHERINE DEFILIPPO NPP (NURSE PRACTITIONER PSYCHIATRY)
(516) 321-0966
Entity
Organization
Contact information
Practice address
126 E PARK AVE, LONG BEACH, NY 11561-3510
(516) 321-0966
Mailing address
536 W MARKET ST, LONG BEACH, NY 11561-1717
(516) 448-5293
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
F 401781
NY
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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