Organization
FAMILY SERVICE LEAGUE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JA'NET BURNS (CREDENTIALING SPECIALIST)
(615) 485-5688
Entity
Organization
Contact information
Practice address
1444 5TH AVE, BAY SHORE, NY 11706-4147
(631) 647-3100
Mailing address
790 PARK AVE, HUNTINGTON, NY 11743-4516
(631) 427-3700
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2008
Last updated
07/14/2021
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