Plainview Old Bethpage Youth Activities Council

NPI #1558667600 in Plainview, New York

Provider Information

NPI Number: 1558667600
Entity Type: Organization
Organization Name: Plainview Old Bethpage Youth Activities Council
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Feb 8, 2011
Last Updated: Mar 2, 2011

Practice Location

Address: 202 TERMINAL DR
Address 2: STE. 3
City: Plainview
State: New York
ZIP Code: 11803-2318
Phone: (516) 576-3120

Authorized Official

Name: MELANIE CONWAY
Title: EXECUTIVE DIRECTOR
Phone: (516) 576-3120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

Provider Name	Specialty	City
Plainview Old Bethpage Youth Activities Council	Counselor - Addiction (Substance Use Disorder)	Plainview	AI Deep Dive
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