LONG ISLAND CENTER FOR RECOVERY INC NPI 1649333154

NPI Information

  • NPI: 1649333154
  • Provider Name: LONG ISLAND CENTER FOR RECOVERY INC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 33D2156250
  • Address: 320 W MONTAUK HWY
    HAMPTON BAYS, NY
    ZIP 11946
  • Phone: (631) 728-3100

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NPI Details

LONG ISLAND CENTER FOR RECOVERY INC is a substance abuse rehabilitation facility in Hampton Bays, NY. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LONG ISLAND CENTER FOR RECOVERY INC NPI is 1649333154. The provider is registered as an organization entity type.

The provider's business location address is:

320 W MONTAUK HWY
HAMPTON BAYS, NY
ZIP 11946-525
Phone: (631) 728-3100
Fax: (631) 728-9075

The provider's authorized official is Karen Lee Moloney .
The authorized official title is Program Director and has the following contact phone number (631) 728-3100.

The CLIA number assigned to this NPI record is 33D2156250 - other - inpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 8/22/2020.

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
1324500000XSubstance Abuse Rehabilitation Facility080410071,070611268,NEW YORKYes

What is NPI?

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This page was last updated on: 3/30/2025

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