Federation of Organizations for the Ny State Mentally Disabled Inc
Organization Active NPI Case Management Agency · Brookhaven, NY
NPI 1679648604 · NPPES record last updated Apr 14, 2015
Key facts
- NPI
- 1679648604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- License
- 02155122 (NY)
- Legal business name
- FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC
- Practice address
- 111 Beaver Dam Road
Brookhaven, NY 11719 - Phone
- (631) 286-2354
- Fax
- (631) 286-5289
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen McCarthy, CPA
- Title
- Chief Financial Officer
- Phone
- (631) 669-5355
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 02155122 | NY | Yes |
Addresses
Primary practice location
111 Beaver Dam Road
Brookhaven, NY 11719
Mailing address
1 Farmingdale Road
Route 109
West Babylon, NY 11704
Phone (631) 669-5355
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02155122 | Medicaid | NY |
Other providers in Brookhaven, NY
- Noemie Daza
- Deborah Ann Deverall
- Julianne Doughty
- Stephanie Marie Duff
- Muhammad Umer Farooq
- Sharon Fullwood-Louis
- Chris Genovese
- Ashley Nicole Gibney
- Stacy Frances Gordon
- Gurwinder K Sidhu Medical Services PC
All providers in Brookhaven, NY · Case Management Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.