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NPI Code Detail

MEDICARE: CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.

MEDICARE: CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
31041C0700XClinical Social Worker
42084P0800XPsychiatry Physician
5164W00000XLicensed Practical Nurse
6261Q00000XClinic/Center
7261QM1300XMulti-Specialty Clinic/Center
8251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114928462
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL NASSAU GUIDANCE & COUNSELING SERVICES, INC.
Provider Business Mailing Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3510
Country : US
Telephone Number : 516-822-6111
Fax Number : 516-396-0053
Provider Business Practice Location Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3510
Country : US
Telephone Number : 516-822-6111
Fax Number : 516-396-0053
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : MS. NANCY MANIGAT
Credential : LCSW
Telephone Number : 516-822-6111
Provider Enumeration Date : 08/09/2005
Last Update Date : 03/12/2025

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