Organization
SCOFAMILY OF SEVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J MCMAHON (EXECUTIVE DIRECTOR)
(516) 759-1844
Entity
Organization
Contact information
Practice address
1 ALEXANDER PL, GLEN COVE, NY 11542-3745
(516) 759-1844
(516) 759-6921
Mailing address
1 ALEXANDER PL, GLEN COVE, NY 11542-3745
(516) 759-1844
(516) 759-6921
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02003258
—
NY
05
—
02003294
—
NY
05
—
02250026
—
NY
05
—
02250035
—
NY
Enumeration date
04/10/2007
Last updated
08/22/2020
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