Organization · Type 2 NPI

Long Island Community Hospital at Nyu Langone Health

Mental Health Clinic/Center (Including Community Mental Health Center) · Shirley, NY

NPI number 1902029796 Active

Practice location

550 Montauk Highway
Shirley, NY 11967-2114

Call (631) 490-3040 Map

Fax (631) 395-6340

Mailing address

101 Hospital Road
Patchogue, NY 11772-4870

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Another provider at this address

Anjumon A. Amin, MDPediatrics Physician Shirley, NY NPI 1891704011

NPI record

NPI: 1902029796
Entity type: Organization (Type 2)
Issued: Apr 10, 2007
Last updated: Mar 15, 2024
Status: Active
Subpart: Yes of Long Island Community Hospital at Nyu Langone Health

Other names

<unavail>
Chemical Dependency CTR East · other name

Authorized official

Marc J Adler
Sr. VP & Chief of Hosp Operations
(516) 592-9098

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902029796

Long Island Community Hospital at Nyu Langone Health's National Provider Identifier is 1902029796, issued on Apr 10, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Shirley, NY. The record was last updated on Mar 15, 2024.