NPI 1457598237
Brookville Center for Childrens Services INC
Practice location
- Address
- 30 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
Registry record
- NPI
- 1457598237
- Entity type
- Organization
- NPI issued
- 15 Jan 2009
- Record last updated
- 15 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.