Organization · Type 2 NPI
Long Island Select Healthcare, Inc.
Federally Qualified Health Center (FQHC) · Manorville, NY
NPI number
1518310689
Active
Practice location
221 N Sunrise Svc Rd
Manorville, NY 11949-9604
Fax (631) 650-0497
Mailing address
159 Carleton Ave
Central Islip, NY 11722-4172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
About NPI 1518310689
Long Island Select Healthcare, Inc.'s National Provider Identifier is 1518310689, issued on Jul 13, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Manorville, NY. The record was last updated on Feb 14, 2019.