NPI: 1447603501
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:
75 LANDING MEADOW RD
SMITHTOWN, NY
ZIP 11787
Phone: (631) 650-2510
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LONG ISLAND SELECT HEALTHCARE, INC. is a federally qualified health center (fqhc) clinic center in Smithtown, NY. LONG ISLAND SELECT HEALTHCARE, INC. NPI is 1447603501. The provider is registered as an organization entity type.
The provider Is Doing Business As Lish, Inc..
The provider's business location address is:
75 LANDING MEADOW RD
SMITHTOWN, NY
ZIP 11787-124
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.