EATING DISORDER TREATMENT OF NEW YORK LLC NPI 1457825135

NPI Information

NPI: 1457825135
Provider Name: EATING DISORDER TREATMENT OF NEW YORK, LLC

Doing Business As: MONTE NIDO GLEN COVE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

Address:
1 SAINT ANDREWS LN
GLEN COVE, NY
ZIP 11542
Phone: (305) 663-1876
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EATING DISORDER TREATMENT OF NEW YORK, LLC is a community based residential treatment facility mental illness in Glen Cove, NY. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. EATING DISORDER TREATMENT OF NEW YORK, LLC NPI is 1457825135. The provider is registered as an organization entity type.
The provider Is Doing Business As Monte Nido Glen Cove.

The provider's business location address is:

1 SAINT ANDREWS LN
GLEN COVE, NY
ZIP 11542-221
Phone: (305) 663-1876

The provider's authorized official is Mike Bagley .
The authorized official title is Chief Financial Officer and has the following contact phone number (305) 663-1876.

The CLIA number assigned to this NPI record is 33D2178913 - other - res for eating disorders with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2019 and was last updated on 7/29/2020.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness				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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