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Mid- Island Y Jcc

Community/Behavioral Health in Plainview, NY. Organization (NPI-2).

NPI number1154863280
StatusActive
Last updated in NPPESNov 7, 2016

Details

NPI
1154863280
Entity type
Organization (NPI-2)
Legal business name
Mid- Island Y Jcc
Organization subpart
No
Enumeration date
Nov 7, 2016
Last updated
Nov 7, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

45 Manetto Hill Rd
Plainview, NY 11803-1325

Phone 516-822-3535

Mailing address

45 Manetto Hill Rd
Plainview, NY 11803-1325

Phone 516-822-3535

Authorized official

Rick Lewis
Ceo
5168223535

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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