Pederson Krag Center
Community/Behavioral Health in Smithtown, NY. Organization (NPI-2).
NPI number1952609232
StatusActive
Last updated in NPPESMar 10, 2011
Details
- NPI
- 1952609232
- Entity type
- Organization (NPI-2)
- Legal business name
- Pederson Krag Center
- Organization subpart
- No
- Enumeration date
- Mar 10, 2011
- Last updated
- Mar 10, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 072099 | NY | Yes |
Practice location
11 Route 111Smithtown, NY 11787-3712
Phone 631-920-8300
Mailing address
11 Route 111Smithtown, NY 11787-3712
Authorized official
Lauren Rothman
Family Specialist
6319208351
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All 5 Community/Behavioral Health Agency providers in Smithtown · All 2,409 providers in Smithtown
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