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General NPI Number Information
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NPI Number | 1851230353
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Entity Type | Organization
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Legal Business Name | BIG BROTHERS BIG SISTERS OF LONG ISLAND
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 25 CARLE RD
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City | WESTBURY
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State | NY
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Zip | 11590-4147
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Country | US
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Telephone | 516-731-7880
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Fax | 516-731-0486
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Provider Business Mailing Address
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Address Line | 25 CARLE RD
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City | WESTBURY
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State | NY
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Zip | 11590-4147
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Country | US
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Telephone | 516-731-7880
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Fax | 516-731-0486
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. MARK COX
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Credential |
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Telephone | 516-842-7678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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