Provider Demographics
NPI:1114154168
Name:FAMILY CONSULTATION SERVICE
Entity Type:Organization
Organization Name:FAMILY CONSULTATION SERVICE
Other - Org Name:EPISCOPAL COMMUNITY SERVICES OF LONG ISLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:MCCARRON
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:718-465-8585
Mailing Address - Street 1:216-10 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428
Mailing Address - Country:US
Mailing Address - Phone:718-465-8585
Mailing Address - Fax:718-479-0205
Practice Address - Street 1:500 SOUTH COUNTRY ROAD
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706
Practice Address - Country:US
Practice Address - Phone:631-665-7701
Practice Address - Fax:631-665-2737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health