Silver Lake Support Services, Inc

LBN: Silver Lake Support Services, Inc
Silver Lake Support Services, Inc is an health care organization with primary practice located at 201 Forest Ave , Staten Island NY 10301-2763. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Silver Lake Support Services, Inc can be contacted via phone (718) 815-3155, or through Schick, Avraham via phone (718) 720-9600.

Contact Information

Primary practice address
201 Forest Ave Staten Island NY 10301-2763
Phone: (718) 815-3155
Fax: (718) 815-3151
Website:
Map and Directions
Authorized official contact:
Name: Schick, Avraham
Phone: (718) 720-9600

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 061110987 New York

Profile Details

NPI number 1336363530
LBN Legal business name Silver Lake Support Services, Inc
DBA Doing business as
Authorized official Schick, Avraham
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Jun 17th, 2010 - about 14 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 1336363530 NPPES
New York MEDICAID 02097574

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