FREEPORT PRIDE NPI 1144619966

NPI Information

NPI: 1144619966
Provider Name: FREEPORT PRIDE
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
33 GUY LOMBARDO AVE
FREEPORT, NY
ZIP 11520
Phone: (516) 546-2822
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FREEPORT PRIDE is a rehabilitation and substance use disorder clinic center in Freeport, NY. FREEPORT PRIDE NPI is 1144619966. The provider is registered as an organization entity type.

The provider's business location address is:

33 GUY LOMBARDO AVE
FREEPORT, NY
ZIP 11520-637
Phone: (516) 546-2822

The provider's authorized official is Yolanda Carrion .
The authorized official title is Assistant Director and has the following contact phone number (516) 546-2822.

The enumeration date for this NPI number is 1/16/2015 and was last updated on 1/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	161210916	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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