Organization
FAMILY PRESERVATION SERVICES OF LONG ISLAND,INC.
Active
Parent organization
FERN SIMON,LCSWR
Other names
Fern Simon, LCSWR
Organization subpart
Yes
Provider details
NPI number
Legal business name
FERN SIMON,LCSWR
Authorized official
PROF. FERN DEBRA SIMON LCSWR (EXECUTIVE DIRECTOR)
(516) 546-0102
Entity
Organization
Contact information
Practice address
732 GLOVER PL, BALDWIN, NY 11510-3505
(516) 546-0102
(516) 546-2684
Mailing address
732 GLOVER PL, BALDWIN, NY 11510-3505
(516) 546-0102
(516) 546-2684
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
R045230-1
NY
253Z00000X
In Home Supportive Care Agency
R045230-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02123128
—
NY
Enumeration date
04/23/2015
Last updated
04/23/2015
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