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Organization

SILVER LAKE SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AVRAHAM SCHICK CASAC (EXECUTIVE DIRECTOR)
(718) 815-3155
Entity
Organization

Contact information

Practice address
201 FOREST AVE, STATEN ISLAND, NY 10301-2763
(718) 815-3155
Mailing address
201 FOREST AVE, STATEN ISLAND, NY 10301-2763
(718) 815-3155

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
576942811
NY

Other

Enumeration date
03/18/2016
Last updated
03/18/2016
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