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NPI Code Detail

MEDICARE: FAMILY SERVICE LEAGUE, INC.

MEDICARE: FAMILY SERVICE LEAGUE, 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
1251S00000XCommunity/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
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528093242
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY SERVICE LEAGUE, INC.
Provider Business Mailing Address
First Line : 790 PARK AVE
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-4516
Country : US
Telephone Number : 631-427-3700
Fax Number : 631-427-0287
Provider Business Practice Location Address
First Line : 790 PARK AVE
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-4516
Country : US
Telephone Number : 631-427-3700
Fax Number :
Authorized Official
Title or Position : CHIEF ADMINISTRATIVE AND INNOVATION
Name : MR. JEFFREY STEIGMAN
Credential : PSY.D.
Telephone Number : 631-427-3700
Provider Enumeration Date : 07/11/2006
Last Update Date : 07/22/2021

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Directions to “FAMILY SERVICE LEAGUE, INC. ” Practice Location

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