Organization
LONG ISLAND CENTER FOR INDEPENDENT LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS JOSEPH BASELICE CPA (DIRECTOR OF FISCAL MANAGEMENT)
(516) 796-0144
Entity
Organization
Contact information
Practice address
3601 HEMPSTEAD TPKE, SUITE #500, LEVITTOWN, NY 11756-1375
(516) 796-0144
(516) 796-0529
Mailing address
3601 HEMPSTEAD TPKE, SUITE #500, LEVITTOWN, NY 11756-1375
(516) 796-0144
(516) 796-0529
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01794738
—
NY
Enumeration date
03/20/2007
Last updated
08/22/2020
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