Town Of Islip in Brentwood - Addiction (substance Use Disorder)

Town Of Islip - NPI 1215029004

Town Of Islip is a Addiction (substance Use Disorder) in Brentwood, New York. Town Of Islip practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Town Of Islip is 1215029004. The last update date is 2008-09-23.

Town Of Islip's current location address is 452 Suffolk Ave, Brentwood, New York. You can contact this provider via phone number 6314366065 and fax number 6314366068. The mailing address for Town Of Islip is 452 Suffolk Ave, Brentwood, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Town Of Islip
Address 452 Suffolk Ave, Brentwood, New York
Phone Number 6314366065
Fax Number 6314366068
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Bocklet Delores
Telephone Number 6312245330

NPI Number Detail

NPI Number 1215029004
Provider Enumeration Date 2006-09-29
Last Updated Date 2008-09-23

Provider Mailing Address Detail

Address 452 Suffolk Ave
City Brentwood
State New York (NY)
Post Code 11717
Phone Number 6314366065
Fax Number 6314366068

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 91111083
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1316081 NY --

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FAQs about Town Of Islip

What is the unique provider identifier assigned to Town Of Islip?

The Town Of Islip has been issued the NPI (National Provider Identifier) 1215029004 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Town Of Islip's facilities are geographically located?

The facilities of Town Of Islip are physically situated at the following location: 452 Suffolk Ave, Brentwood, NY, 11717.

What is Town Of Islip's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Town Of Islip is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.

On what date did the Town Of Islip receive the assignment of its 1215029004 from the Centers for Medicare & Medicaid Services?

The Town Of Islip was issued its 1215029004 by the Centers for Medicare & Medicaid Services on 2006-09-29.

When was the information regarding Town Of Islip, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Town Of Islip, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-09-23.

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