Long Island Adolescent & Family Service,inc
NPI #1992901722 in Stony Brook, New York
Provider Information
- NPI Number
- 1992901722
- Entity Type
- Organization
- Organization Name
- Long Island Adolescent & Family Service,inc
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Jun 27, 2007
- Last Updated
- Nov 18, 2014
Practice Location
- Address
- 1413 STONY BROOK RD
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-2214
- Phone
- (631) 444-4400
Authorized Official
- Name
- DR. DIANE AQUINO
- Title
- EXECUTIVE DIRECTOR
- Phone
- (631) 444-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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