Organization
EAC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MALONE (HEALTH SERVICES DIVISION DIRECTOR)
(516) 539-0150
Entity
Organization
Contact information
Practice address
50 CLINTON ST, SUITE 107, EAC, HEMPSTEAD, NY 11550-4281
(516) 539-0150
(516) 539-0160
Mailing address
50 CLINTON ST, SUITE 107, EAC, HEMPSTEAD, NY 11550-4281
(516) 539-0150
(516) 539-0160
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02772503
—
NY
01
—
1346302346
NPI
NY
01
—
1538594049
NPI
NY
Enumeration date
07/08/2015
Last updated
07/08/2015
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