Organization
NORTH FORK INTEGRATIVE STRATEGIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOIRA MASTRO LCSW, CASAC (OWNER)
(631) 714-2634
Entity
Organization
Contact information
Practice address
13105 MAIN RD, MATTITUCK, NY 11952-3214
(631) 714-2634
(631) 714-2620
Mailing address
PO BOX 600, MATTITUCK, NY 11952-0600
(631) 714-2634
(631) 714-2620
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
078742
NY
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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