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Organization

LIFE'S WORC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER SMERGUT (EXECUTIVE DIRECTOR)
(516) 741-9000
Entity
Organization

Contact information

Practice address
1501 FRANKLIN AVE, MINEOLA, NY 11501-4803
(516) 741-9000
Mailing address
1501 FRANKLIN AVE, MINEOLA, NY 11501-4803
(516) 741-9000

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-11-8641
NY

Other

Enumeration date
03/15/2012
Last updated
03/15/2012
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