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Long Island Select Healthcare, Inc.
Federally Qualified Health Center (FQHC) in Port Jefferson Station, New York
NPI 1417300575

Long Island Select Healthcare, Inc. is a Federally Qualified Health Center (FQHC) based in Central Islip, NY and is specialized in Federally Qualified Health Center (FQHC). Long Island Select Healthcare, Inc. practices in Port Jefferson Station, NY. The NPI Number for Long Island Select Healthcare, Inc. is 1417300575 and holds a License No. (New York).

The current practice location address for Long Island Select Healthcare, Inc. is 33 Terryville Rd, Port Jefferson Station, NY and can be reached out via phone at 631-650-2510 and via fax at 631-650-0497.

Location: 33 Terryville Rd, Port Jefferson Station, NY, 11722-4172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417300575
Provider Name
Long Island Select Healthcare, Inc.
Credential
Provider Entity Type
Organization
Address
33 Terryville Rd, Port Jefferson Station, NY, 11722-4172
Phone Number
631-650-2510
Fax Number
631-650-0497
Provider Enumeration Date
07/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
33 Terryville Rd
City
Port Jefferson Station
State
New York
Zip
11776-1331
Phone Number
631-650-2510
Fax Number
631-650-0497
person
Provider Business Mailing Address Details
Address
33 Terryville Rd
City
Port Jefferson Station
State
New York
Zip
11776-1331
Phone Number
631-650-2510
Fax Number
631-650-0497
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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