Five Towns Community Center Coda Program

LBN: Five Towns Community Center Coda Program
Five Towns Community Center Coda Program is an health care organization with primary practice located at 270 Lawrence Ave Coda Program, Lawrence NY 11559-1224. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Five Towns Community Center Coda Program can be contacted via phone (516) 239-6244, or through Sistrunk, Lorenzo via phone (516) 239-6244.

Contact Information

Primary practice address
270 Lawrence Ave Coda Program Lawrence NY 11559-1224
Fax: (516) 371-2147
Website:
Authorized official contact:
Name: Sistrunk, Lorenzo Master of Arts (MA)

Health care specialties

Profile Details

NPI number 1235256256
LBN Legal business name Five Towns Community Center Coda Program
DBA Doing business as
Authorized official Sistrunk, Lorenzo Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated May 12th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235256256 NPPES
New York MEDICAID 02784169

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