Organization · Type 2 NPI

Long Island Jewish Medical Center

Mental Illness Community Based Residential Treatment Facility · New Hyde Park, NY

NPI number 1104990928 Active

Practice location

27005 76th Ave
New Hyde Park, NY 11040-1433

Call (516) 876-6000 Map

Fax (516) 876-6600

Mailing address

972 Brush Hollow Rd
Westbury, NY 11590-1740

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

1,110 other providers at this address

About NPI 1104990928

Long Island Jewish Medical Center's National Provider Identifier is 1104990928, issued on Nov 20, 2006. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in New Hyde Park, NY. The record was last updated on Nov 28, 2018.