Healthcare Provider Details

I. General information

NPI: 1023660230
Provider Name (Legal Business Name): FAMILY AND CHILDREN'S ASSOCIATION - FAMILY FIRST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2019
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E OLD COUNTRY RD STE 14
MINEOLA NY
11501-4614
US

IV. Provider business mailing address

100 E OLD COUNTRY RD STE 14
MINEOLA NY
11501-4614
US

V. Phone/Fax

Practice location:
  • Phone: 516-804-1010
  • Fax:
Mailing address:
  • Phone: 516-804-1010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: CARLA DEFRANCISCO
Title or Position: CFO
Credential:
Phone: 516-746-0350