Long Island Select Healthcare, Inc.

NPI #1043663107 in Central Islip, New York

Provider Information

NPI Number
1043663107
Entity Type
Organization
Organization Name
Long Island Select Healthcare, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 13, 2016
Last Updated
Sep 27, 2019

Practice Location

Address
159 CARLETON AVE
ZIP Code
11722-4172
Phone
(631) 650-2510

Authorized Official

Name
JAMES POWELL, MD
Title
CEO
Phone
(631) 650-2085

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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