Long Island Detox Inc.

NPI #1972053890 in Freeport, New York

Provider Information

NPI Number: 1972053890
Entity Type: Organization
Organization Name: Long Island Detox Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Oct 4, 2016
Last Updated: May 10, 2017

Practice Location

Address: 157 N BAYVIEW AVE
City: Freeport
State: New York
ZIP Code: 11520-1901
Phone: (516) 377-6921

Authorized Official

Name: MR. SYDNEY HUGHES, M.D.
Title: CEO
Phone: (516) 543-5353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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