Organization
KSD FAMILY SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY SULLIVAN DENNIS PHD (PRESIDENT)
(516) 375-3645
Entity
Organization
Contact information
Practice address
2174 HEWLETT AVE STE 107A, MERRICK, NY 11566-3612
(516) 375-3645
Mailing address
2194 WILLOUGHBY AVE, WANTAGH, NY 11793-4129
(516) 375-3645
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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