Organization
THE LONG ISLAND HOME
Active
Parent organization
THE LONG ISLAND HOME
Other names
South Oaks Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LONG ISLAND HOME
Authorized official
MRS. MICHELE CUSAK (CFO)
(631) 608-5107
Entity
Organization
Contact information
Practice address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 264-4000
Mailing address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 264-4000
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00274391
—
NY
Enumeration date
02/04/2011
Last updated
07/26/2022
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