MEDICARE: FEDERATION OF ORGANIZATIONS

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
1	251S00000X	Community/Behavioral Health Agency	500751	NY

General Provider Information

NPI Number	:	1528347978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEDERATION OF ORGANIZATIONS

Provider Business Mailing Address
First Line	:	1 FARMINGDALE RD
Second Line	:
City	:	WEST BABYLON
State	:	NY
Zip	:	11704-6207
Country	:	US
Telephone Number	:	631-669-5355
Fax Number	:	631-669-1517

Provider Business Practice Location Address
First Line	:	1 FARMINGDALE RD
Second Line	:
City	:	WEST BABYLON
State	:	NY
Zip	:	11704-6207
Country	:	US
Telephone Number	:	631-669-5355
Fax Number	:	631-669-1517

Authorized Official
Title or Position	:	TEAM LEADER
Name	:	MS. LEEANN PICCOLA
Credential	:
Telephone Number	:	631-669-5355

Provider Enumeration Date	:	08/16/2011
Last Update Date	:	08/16/2011

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Directions to “FEDERATION OF ORGANIZATIONS ” Practice Location

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