Organization
THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF LONG ISLAND INCORPORATED
Active
Organization
THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF LONG ISLAND INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK KATZENBERGER (CFO)
(516) 674-8290
Entity
Organization
Contact information
Practice address
1150 PORTION RD, SUITE 6, HOLTSVILLE, NY 11742-1074
(631) 580-7777
(631) 580-7773
Mailing address
1150 PORTION RD, SUITE 6, HOLTSVILLE, NY 11742-1074
(631) 580-7777
(631) 580-7773
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
70611543
NY
Other
Enumeration date
11/22/2006
Last updated
04/03/2017
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