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Organization

EPILEPSY FOUNDATION OF LI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELAINE LUBELSKY C.P.A. (CHIEF FINANCIAL OFFICER)
(516) 739-7733
Entity
Organization

Contact information

Practice address
2654 RANGE RD, NORTH BELLMORE, NY 11710-2860
(516) 739-7733
(516) 739-1859
Mailing address
506 STEWART AVE, GARDEN CITY, NY 11530-4706
(516) 739-7733
(516) 739-1859

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
67510442
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00859554
NY
Enumeration date
05/14/2008
Last updated
05/14/2008
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