Provider Demographics
NPI:1285462986
Name:HEALTH AND WELFARE COUNCIL OF LONG ISLAND
Entity type:Organization
Organization Name:HEALTH AND WELFARE COUNCIL OF LONG ISLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-505-4422
Mailing Address - Street 1:110 WALT WHITMAN RD STE 101
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-4177
Mailing Address - Country:US
Mailing Address - Phone:516-505-4422
Mailing Address - Fax:
Practice Address - Street 1:110 WALT WHITMAN RD STE 101
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-4177
Practice Address - Country:US
Practice Address - Phone:516-505-4422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management