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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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