Organization
NORTH SHORE TBI SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M. LIBERATORE PH.D. (DIRECTOR)
(917) 921-1485
Entity
Organization
Contact information
Practice address
17 AROSA CT, GREENLAWN, NY 11740-1136
(917) 921-1485
Mailing address
17 AROSA CT, GREENLAWN, NY 11740-1136
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
012393-1
NY
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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