Organization
LONG ISLAND SELECT HEALTHCARE, INC.
Active
Organization
LONG ISLAND SELECT HEALTHCARE, INC.
Active
Other names
LISH, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES POWELL MD (CEO)
(631) 650-2085
Entity
Organization
Contact information
Practice address
120 PLANT AVE, HAUPPAUGE, NY 11788-3805
(631) 650-2510
(631) 650-0497
Mailing address
159 CARLETON AVE, CENTRAL ISLIP, NY 11722-4172
(631) 650-2510
(631) 650-0497
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/20/2016
Last updated
09/27/2019
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