NPI: 1295188357
Provider Name: LONG ISLAND SELECT HEALTHCARE, INC.
Doing Business As: LISH, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
883 E MAIN ST
RIVERHEAD, NY
ZIP 11901
Phone: (631) 650-2510
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LONG ISLAND SELECT HEALTHCARE, INC. is a federally qualified health center (fqhc) clinic center in Riverhead, NY. LONG ISLAND SELECT HEALTHCARE, INC. NPI is 1295188357. The provider is registered as an organization entity type.
The provider Is Doing Business As Lish, Inc..
The provider's business location address is:
883 E MAIN ST
RIVERHEAD, NY
ZIP 11901-613
Phone: (631) 650-2510
Fax: (631) 650-0497
The provider's authorized official is James Powell .
The authorized official title is Ceo and has the following contact phone number (631) 650-2085.
The enumeration date for this NPI number is 7/13/2016 and was last updated on 9/27/2019.