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
1	261Q00000X	Clinic/Center
2	320800000X	Mental Illness Community Based Residential Treatment Facility	01303520	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1740329531
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	:	516-536-0553

Provider Business Practice Location Address
First Line	:	55 W AMES CT
Second Line	:
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-2304
Country	:	US
Telephone Number	:	516-822-1111
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JEFFREY FRIEDMAN
Credential	:
Telephone Number	:	516-822-6111

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	04/09/2025

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