Organization
NORTH SHORE LONG ISLAND JEWISH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTO BARRETO (LCSW, DIRECTOR)
(718) 868-1400
Entity
Organization
Contact information
Practice address
1600 CENTRAL AVE, FAR ROCKAWAY, NY 11691-4000
(718) 868-1400
(718) 327-5615
Mailing address
1600 CENTRAL AVE, FAR ROCKAWAY, NY 11691-4000
(718) 868-1400
(718) 327-5615
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
083653
NY
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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