Whalio Doctors

NPI 1376780262

Brookville Center for Childrens Services INC

Organisation Mental Illness Intermediate Care Facility Lido Beach, NY

Practice location

Address
26 Seaspray Dr, Lido Beach, NY 11561-5232
Phone
(516) 626-1075
Fax
(516) 626-3308
Mailing address
189 Wheatley Rd, Glen Head, NY 11545-2641

Authorised official

Name
Willard T Derr
Title
Chief Financial Officer
Phone
(516) 626-1075

Registered specialties

Mental Illness Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310500000X

Registry record

NPI
1376780262
Entity type
Organization
NPI issued
14 Jan 2009
Record last updated
14 Jan 2009

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.