Family Service League

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

099472 Issued in NY

Legal business name

FAMILY SERVICE LEAGUE

Practice address

1444 Fifth Ave
Bay Shore, NY 11706

Phone

(631) 647-3100

Fax

(631) 647-2058

NPI assigned

Apr 3, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cristie Golson

Title

Director of Revenue Cycle Managemen

Phone

(631) 647-3100

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1497251995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 5TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064147",
            "telephone_number": "631-647-3100",
            "fax_number": "631-647-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 FIFTH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-647-3100",
            "fax_number": "631-647-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE LEAGUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "GOLSON",
        "authorized_official_first_name": "CRISTIE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE MANAGEMEN",
        "authorized_official_telephone_number": "631-647-3100"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "099472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111631827",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Fallon, MD
• Family Consultation Service
• Family Dentistry
• Family Help Services
• Family Medical Care of Bayshore, PC
• Family Service League, Inc.
• Cindy Fandino
• Christine Ann Fanelli, NP
• Uzair Farooqi, D.O.
• Obaid Farooque, PA-C

• Community/Behavioral Health Agency in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.