Organization
MERCYFIRST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA GOLDSTEIN (CONTROLLER)
(516) 921-0808
Entity
Organization
Contact information
Practice address
525 CONVENT RD, SYOSSET, NY 11791-3868
(516) 921-0808
Mailing address
525 CONVENT RD, SYOSSET, NY 11791-3868
(516) 921-0808
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00327766
—
NY
Enumeration date
11/17/2006
Last updated
08/22/2020
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