Lifelong Theraputics Inc

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

2595 Issued in NY

Legal business name

LIFELONG THERAPUTICS INC

Practice address

337 Deer Park Rd
Dix Hills, NY 11746-5203

Phone

(631) 385-2411

Fax

(631) 385-2411

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Ciolino, OTR/L

Title

Owner

Phone

(631) 385-2411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1649455809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 CHARDONNAY DR",
            "city": "EAST QUOGUE",
            "state": "NY",
            "postal_code": "119423829",
            "telephone_number": "631-385-2411",
            "fax_number": "631-385-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 DEER PARK RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465203",
            "telephone_number": "631-385-2411",
            "fax_number": "631-385-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG THERAPUTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "CIOLINO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-385-2411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NY",
            "license": "2595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Hok-Lung Li
• Mary Beth Liberman
• Life Stages Counseling Center, Inc
• Life Stages Counseling Center, Inc
• Life Transitions Counseling LCSW, PLLC
• Barbara P Limpert, PT
• Deborah Lipman, LCSW
• Little Treasures LLP
• Long Island Adult Health NP, PLLC
• Marinna Lotardo, RD

• Physical Disabilities Residential Treatment Facility in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Physical Disabilities Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.