Long Island Center for Independent Living, Inc.

NPI #1972628717 in Levittown, New York

Provider Information

NPI Number: 1972628717
Entity Type: Organization
Organization Name: Long Island Center for Independent Living, Inc.
Primary Specialty: Technician - Personal Care Attendant
Enumeration Date: Mar 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3601 HEMPSTEAD TPKE
Address 2: SUITE #500
City: Levittown
State: New York
ZIP Code: 11756-1375
Phone: (516) 796-0144

Authorized Official

Name: MR. FRANCIS JOSEPH BASELICE, CPA
Title: DIRECTOR OF FISCAL MANAGEMENT
Phone: (516) 796-0144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X	Primary

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