Organization
STILLWATER GROUP OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAFER H ZYSMAN CSW (CHIEF EXCUTIVE OFFICER)
(631) 647-7885
Entity
Organization
Contact information
Practice address
1840 UNION BLVD, BAY SHORE, NY 11706-7932
(631) 647-7885
(631) 647-7893
Mailing address
1840 UNION BLVD, BAY SHORE, NY 11706-7932
(631) 647-7885
(631) 647-7893
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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