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General NPI Number Information
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NPI Number | 1427269141
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Entity Type | Organization
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Legal Business Name | HANDS ACROSS LONG ISLAND, INC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 09/30/2013
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Provider Practice Location Address
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Address Line | 159 BRIGHTSIDE AVE
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City | CENTRAL ISLIP
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State | NY
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Zip | 11722-2710
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Country | US
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Telephone | 631-234-1925
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Fax | 631-234-7258
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Provider Business Mailing Address
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Address Line | 159 BRIGHTSIDE AVE
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City | CENTRAL ISLIP
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State | NY
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Zip | 11722-2710
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Country | US
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Telephone | 631-234-1925
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Fax | 631-234-7258
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ELLEN HEALION
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Credential | M.A.
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Telephone | 631-234-1925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 8684006A
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License Number State | NY
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