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Organization

LONG BEACH MEDICAL CENTER PSYCH UNIT

Active
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Organization

LONG BEACH MEDICAL CENTER PSYCH UNIT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARRY STERN (CHIEF FINANCIAL OFFICER)
(516) 897-1212
Entity
Organization

Contact information

Practice address
455 EAST BAY DRIVE, LONG BEACH, NY 11561
(516) 897-1065
(516) 897-1064
Mailing address
455 EAST BAY DRIVE, LONG BEACH, NY 11561
(516) 897-1065
(516) 897-1064

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000185
BLUE CROSS
05
00245487
NY
Enumeration date
07/25/2006
Last updated
07/21/2022
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