Healthcare Provider Details

I. General information

NPI: 1215135785
Provider Name (Legal Business Name): NASSAU HEALTH CARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 HEMPSTEAD TPKE
EAST MEADOW NY
11554-1859
US

IV. Provider business mailing address

2201 HEMPSTEAD TPKE
EAST MEADOW NY
11554-1859
US

V. Phone/Fax

Practice location:
  • Phone: 516-572-6131
  • Fax: 516-572-5793
Mailing address:
  • Phone: 516-572-6131
  • Fax: 516-572-5793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number295002H
License Number StateNY

VIII. Authorized Official

Name: RICHARD PERROTTI
Title or Position: VP FINANCE
Credential:
Phone: 516-572-6711