LONG ISLAND FQHC INC. NPI 1396059499

NPI Information

NPI: 1396059499
Provider Name: LONG ISLAND FQHC, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
380 NASSAU RD
ROOSEVELT, NY
ZIP 11575
Phone: (516) 571-8600
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LONG ISLAND FQHC, INC. is a federally qualified health center (fqhc) clinic center in Roosevelt, NY. LONG ISLAND FQHC, INC. NPI is 1396059499. The provider is registered as an organization entity type.

The provider's business location address is:

380 NASSAU RD
ROOSEVELT, NY
ZIP 11575-343
Phone: (516) 571-8600

The provider's authorized official is David Nemiroff .
The authorized official title is Executive Director and has the following contact phone number (516) 546-4198.

The enumeration date for this NPI number is 7/30/2010 and was last updated on 3/17/2018.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	2908201R	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: 11/14/2023

NPI Synchronization or Removal

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