Organization
EMPLOYEE ASSISTANCE RESOURCE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON A. ZYSMAN PH.D. (EXECUTIVE DIRECTOR)
(631) 361-6960
Entity
Organization
Contact information
Practice address
278 E MAIN ST, SMITHTOWN, NY 11787-2920
(631) 361-6960
(631) 366-5346
Mailing address
278 E MAIN ST, SMITHTOWN, NY 11787-2920
(631) 361-6960
(631) 366-5346
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
061110768
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01427518
—
NY
Enumeration date
08/28/2006
Last updated
11/30/2016
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