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General NPI Number Information
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NPI Number | 1942428776
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH ASSOC OF NASSAU COUNTY
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16 MAIN ST
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City | HEMPSTEAD
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State | NY
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Zip | 11550-4020
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Country | US
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Telephone | 516-489-2322
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Fax | 516-489-2784
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Provider Business Mailing Address
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Address Line | 16 MAIN ST
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City | HEMPSTEAD
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State | NY
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Zip | 11550-4020
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | MS. ELAINE ELSNER
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Credential |
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Telephone | 516-489-2322
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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 | 7232431
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License Number State | NY
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