Organization
SOUTH OAKS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PATRICIA FLAHERTY LCSW-R (PROGRAM DIRECTOR)
(631) 608-5900
Entity
Organization
Contact information
Practice address
400 SUNRISE HWY, CARONE HALL, AMITYVILLE, NY 11701-2508
(631) 608-5900
Mailing address
400 SUNRISE HWY, CARONE HALL, AMITYVILLE, NY 11701-2508
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
1568459204
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568459204
—
NY
Enumeration date
12/22/2016
Last updated
12/22/2016
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