Long Island Center for Recovery Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

080410071,070611268, Issued in NY

Legal business name

LONG ISLAND CENTER FOR RECOVERY INC

Practice address

320 W Montauk Hwy
Hampton Bays, NY 11946-3525

Phone

(631) 728-3100

Fax

(631) 728-9075

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Karen Lee Moloney, CASAC

Title

Program Director

Phone

(631) 728-3100

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Joseph Defraia, D.O.

  • Internal Medicine Physician
  • Hampton Bays, NY
  • NPI 1346552536
  NPD (past)
• Caryn E Valencia, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Commack, NY
  • NPI 1437410867
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649333154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463525",
            "telephone_number": "631-728-3100",
            "fax_number": "631-728-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463525",
            "telephone_number": "631-728-3100",
            "fax_number": "631-728-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND CENTER FOR RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOLONEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "631-728-3100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CASAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": "080410071,070611268,",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luann Leno, P.T.
• Herbert Murray Levine, LCSWR
• Aleksandra Liberman, M.D.
• Priscilla A Lingard, CASAC-T
• Deena Lippman
• Deborah Love, PT
• Luannlenoptpc
• Tracy Diane Ludlow, RN, LMT
• Leigh Erin Lynch
• Elizabeth Helene Lyngholm, L.P.

• Substance Abuse Rehabilitation Facility in Hampton Bays, NY
• Providers in Hampton Bays, NY by specialty
• Substance Abuse Rehabilitation Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.