Organization
SCO FAMILY OF SERVICES DBA MADONNA HEIGHTS SERVICE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN FELDMAN (DIRECTOR OF REVENUE CYCLE & CLIENT)
(516) 759-1844
Entity
Organization
Contact information
Practice address
1415 KELLUM PL STE 140, GARDEN CITY, NY 11530-1604
(631) 759-1844
(516) 759-6921
Mailing address
1415 KELLUM PL STE 140, GARDEN CITY, NY 11530-1604
(631) 759-1844
(516) 759-6921
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00675530
—
NY
05
—
00801116
—
NY
05
—
01066206
—
NY
05
—
01405774
—
NY
05
—
01857327
—
NY
05
—
02187231
—
NY
Enumeration date
09/16/2006
Last updated
03/27/2026
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