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Organization

HEAD INJURY ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA SENZEL LCSW (CHIEF COMPLIANCE OFFICER)
(631) 543-2245
Entity
Organization

Contact information

Practice address
300 KENNEDY DR, HAUPPAUGE, NY 11788-4013
(631) 543-2245
(631) 543-2265
Mailing address
300 KENNEDY DR, HAUPPAUGE, NY 11788-4013
(631) 543-2245
(631) 543-2265

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
02002371
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01542869
NY
Enumeration date
04/03/2015
Last updated
04/03/2015
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