Organization
LONG ISLAND PEDIATRIC HOMECARE
Active
Parent organization
TRIBORO HOMECARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIBORO HOMECARE
Authorized official
MISS MEAGHAN MACDONALD (NURSE)
(631) 671-5191
Entity
Organization
Contact information
Practice address
389 THIRTY THIRD STREET, LINDENHURST, NY 11757
(631) 671-5191
Mailing address
389 33RD ST, LINDENHURST, NY 11757-3240
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
705878-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234567891011121314
—
NY
Enumeration date
12/18/2015
Last updated
12/18/2015
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