Organization · Type 2 NPI
Fairy Licemothers, LLC
Public Health or Welfare Agency · Oceanside, NY
NPI number
1235653437
Active
Practice location
2463 Long Beach Rd
Oceanside, NY 11572-1362
Other practice locations
- 6507 Jester Blvd Ste 505A, Austin, TX 78750-8354 · (866) 561-0492
- 1755 Deer Park Ave, Deer Park, NY 11729-5207 · (866) 561-0492
- 679 Glen Cove Ave, Glen Head, NY 11545-1602 · (866) 561-0492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | None listed |
Public Health or Welfare Agency: Definition to come...
Another provider at this address
Other public health or welfare agency providers in Oceanside
About NPI 1235653437
Fairy Licemothers, LLC's National Provider Identifier is 1235653437, issued on Jul 29, 2017. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Oceanside, NY. The record was last updated on Mar 17, 2018.