Long Island Council on Alcoholism and Drug Dependence

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LONG ISLAND COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE

Practice address

114 Old Country Rd
Suite 114
Mineola, NY 11501-4420

Phone

(516) 747-2606

Fax

(516) 747-0714

NPI assigned

Oct 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey L Reynolds, PH.D

Title

Execeutive Director

Phone

(516) 747-2606

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1689950305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 OLD COUNTRY RD",
            "address_2": "SUITE 114",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014420",
            "telephone_number": "516-747-2606",
            "fax_number": "516-747-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 OLD COUNTRY RD",
            "address_2": "SUITE 114",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014420",
            "telephone_number": "516-747-2606",
            "fax_number": "516-747-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECEUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-747-2606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Logan, AGPCNP-BC
• Jessica Loiodice, DO
• Louis Loiodice, MD
• Jennifer M Lombardo, PA
• Long Island Ambulatory for Oral and Maxillofacial Surgery, PC
• Long Island Oral & Maxillofacial Surgery, PC
• Long Island Women'S Health Care Group, PC
• Melanie Lopez-Humann, RPAC
• Ana Lopez, PA-C
• Christopher Richard Lopez, MS PT OCS CSCS

• Community/Behavioral Health Agency in Mineola, NY
• Providers in Mineola, 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 Oct 26, 2011; 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.