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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