Whalio Doctors

NPI 1124131461

Southeast Nassau Guidance Center INC.

Organisation Community/Behavioral Health Agency Wantagh, NY

Practice location

Address
3375 Park Ave, Wantagh, NY 11793-3733
Phone
(516) 781-1911
Fax
(516) 781-1173

Authorised official

Name
Rosalia M Mirabella
Title
Billing Manager
Phone
(516) 221-3030

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 110510994 (NY)

Registry record

NPI
1124131461
Entity type
Organization
NPI issued
17 Aug 2006
Record last updated
23 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.