Clifton Rudolph Lake in Valley Stream - Psychiatric Hospital
Clifton Rudolph Lake - NPI 1063698330
Clifton Rudolph Lake is a Psychiatric Hospital in Valley Stream, New York. Clifton Rudolph Lake practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for Clifton Rudolph Lake is 1063698330. The last update date is 2020-05-20.
Clifton Rudolph Lake's current location address is 46 Brook Rd, Valley Stream, New York. You can contact this provider via phone number 5165080128. The mailing address for Clifton Rudolph Lake is 46 Brook Rd, Valley Stream, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifton Rudolph Lake |
|---|---|
| Address | 46 Brook Rd, Valley Stream, New York |
| Phone Number | 5165080128 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063698330 |
|---|---|
| Provider Enumeration Date | 2008-01-16 |
| Last Updated Date | 2020-05-20 |
Provider Mailing Address Detail
| Address | 46 Brook Rd |
|---|---|
| City | Valley Stream |
| State | New York (NY) |
| Post Code | 115812416 |
| Phone Number | 5165080128 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Hospital |
|---|---|
| Taxonomy | 283Q00000X |
| Licence No | P60621 |
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Definition: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
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What is the unique 10-digit identifier code issued to Clifton Rudolph Lake by the Centers for Medicare & Medicaid Services?
The Clifton Rudolph Lake has been assigned the NPI (National Provider Identifier) 1063698330 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Clifton Rudolph Lake located?
The Clifton Rudolph Lake is located at 46 Brook Rd, Valley Stream, NY 115812416.
What is Clifton Rudolph Lake's area of expertise and its corresponding taxonomy classification?
The Clifton Rudolph Lake's field of specialization is Psychiatric Hospital, and it falls under the taxonomy code 283Q00000X, which categorizes healthcare providers based on their areas of practice.
When did the Clifton Rudolph Lake receive its 1063698330?
The Clifton Rudolph Lake was issued its 1063698330 on 2008-01-16, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Clifton Rudolph Lake most recently updated or revised?
The details related to Clifton Rudolph Lake, including its address, specialty, and other relevant information, were last updated or revised on 2020-05-20.