Organization
MADONNA HEIGHTS FAMILY SVC CL
Active
Other names
Sco Family of Srevice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J MCMAHON (EXECUTIVE DIRECTOR)
(516) 759-1844
Entity
Organization
Contact information
Practice address
1 ALEXANDER PL, GLEN COVE, NY 11542-3745
(516) 759-1844
Mailing address
1 ALEXANDER PLACE, GLEN COVE, NY 11542
(516) 759-1844
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00675530
—
NY
Enumeration date
12/21/2007
Last updated
12/21/2007
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