Behavioral Enhancement & Substance Abuse Medicine Treatment Pllc
LBN: Behavioral Enhancement & Substance Abuse Medicine Treatment Pllc
Behavioral Enhancement & Substance Abuse Medicine Treatment Pllc is an health care organization with primary practice located at 770 Grand Blvd Suite 17, Deer Park NY 11729-5750. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty.
Behavioral Enhancement & Substance Abuse Medicine Treatment Pllc can be contacted via phone (631) 392-4357, or through Petry, Deborah M. via phone (631) 392-4357.
Contact Information
Primary practice address
770 Grand Blvd Suite 17
Deer Park NY 11729-5750
Phone: (631) 392-4357
Fax: (631) 392-4358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | 140511797 | New York |
Profile Details
| NPI number | 1346680071 |
|---|---|
| LBN Legal business name | Behavioral Enhancement & Substance Abuse Medicine Treatment Pllc |
| DBA Doing business as | |
| Authorized official | Petry, Deborah M. LCSW, CASAC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 26th, 2013 |
| Last updated | Dec 4th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346680071 | NPPES |
| New York | Other | 140511797 | OASAS |
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