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General NPI Number Information
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NPI Number | 1568619294
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Entity Type | Organization
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Legal Business Name | FAMILY & CHILDREN'S ASSOCIATION WEST NASSAU COMM
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Dates
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Enumeration Date | 08/25/2008
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 505 ELMONT RD
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City | ELMONT
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State | NY
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Zip | 11003-4028
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Country | US
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Telephone | 516-285-1511
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Fax | 516-285-0983
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Provider Business Mailing Address
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Address Line | 100 E OLD COUNTRY RD
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City | MINEOLA
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State | NY
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Zip | 11501-4633
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Country | US
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Telephone | 516-745-0350
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Fax | 516-877-1305
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Authorized Official
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Title or Position | CFO
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Name | CARLA DEFRANCISCO
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Credential |
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Telephone | 516-746-0350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 9206008
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License Number State | NY
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